Laserfiche WebLink
SEWArax r <br /> Distance to Public SewersConnection` necessary: Yes No— <br /> Does existing septic syst m comply with Ord . #548 : Yes No_... <br /> Unknown If no, explain: y <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SCLP.P.T.X - <br /> Is water supplied. by private well : Yes -- No Is well proper: <br /> Yes U No State deficiency: <br /> aT S�c� fib t,� +QAC IK <br /> Does ex sting or porposed use make this well public Water: Yes <br /> NoSample of well water taken: Yes No Date taken k <br /> Results Additional information or comments <br /> 3 . GARRAQR & RFFUSI <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> I <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4• y. tOSQIfQ- R x,-T013 <br /> ' <br /> State possible vector potential & necessary control: <br /> 1 <br /> 1 <br /> No. & location existing: Pty Ivc < Additional <br /> facilities needed ` <br /> 6, pggyToas OBERATTON gj3jngX <br /> 1 <br /> ?. <br /> State any problems not previously noted: �6 <br /> .3 . pnP1ULA2:jQj HSTTTv s r m, <br /> Appx, No. People per aq. mi. <br /> I <br /> I <br />