Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes 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 No State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service <br /> Other proposed disposal method: <br /> Potential problem : <br /> 4 . FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control`--- <br /> 5 . TOILET/BATH FACILITES <br /> No. & location existing : Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HISTORY <br /> 1f2 k- i !,, <t4 77Lt� .-v T Lv its <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: — <br /> S . POPULATION DENSITY <br /> Appx . No . People per sq. mi . <br />