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 /> s <br /> ResultAdditional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method : <br /> Potential problem,: <br /> 4 . FLYS MOSQUITO OR VECTOR PO°FENTLA <br /> State possible vector potential & necessary control : <br /> 5 . T ILETIBATH FACILITY <br /> No . & location existing : __. Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HI_aTQ <br /> 7 . GENERAL SANITATION <br /> State any pr'ol:)lems not previously noted .- <br /> 8 . <br /> oted :8 . POPULATIs DEi SITY <br /> Appx. No . People per sq. mi . _ <br />