Laserfiche WebLink
NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE PIES FOR FIL <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? ❑ Yes E No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes No Un own <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: L__1�^ <br /> Is Water supplied by Private Well ?` Yes F-1 No Is well properly sealed and constructed ? Yes No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? 0 Yes ❑ No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? 0 Yes ❑ No <br /> Is water/well sampling current ? ❑ Yes ❑ No <br /> Additional information or comments: <br /> GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? Q Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> FLY MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> :1106 06 Report#7201 August 03,2007 <br />