Laserfiche WebLink
1 . UWAGE <br /> Distance to Public Sewers Connection necessary : Yes No_,_,. <br /> Does existing septic system comply with Ord . #549 : Yea No— <br /> Unknown If no, explain: <br /> Describe septic installation to *be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is well proper: <br /> Yes NoState deficiency: <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes Na Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licenced scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problems: <br /> 4 . EL Ly . MOSQUITO- OR Yj^.T } EC)r2i NTIAL <br /> State possible vector potentiftl & necessary control : <br /> 5 . TQTLETIBATH FACILITES <br /> No. & location existing : Additional <br /> facilities needed _ <br /> 6 . P_RFVIQUa C;PE ATTON HIST <br /> 7 . OEN 'RAL 5ANTIATION <br /> State any problems not previously noted : - <br /> 8 . EQEULATIQ14 DENSTU <br /> Appx. No. People per ren . mi. <br />