Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes Nom <br /> Does existing septic system comply with Ord . 11549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic install vtioq to be installed: <br /> 2 . WATER SUPPLY <br /> Is wat r supplied by private well : Yes � No Is well proper: <br /> Yes7No State def-1ciency : <br /> Does xisting or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes No.� Date taken <br /> Resul s Additional information or comments 4 <br /> 3 . GARBAGE & REFUSE <br /> Licenced scavenger pick-up: Yes No- Service Area No . <br /> Other proposed disposal metho <br /> /off <br /> a <br /> Potent )robl <br /> f ��� <br /> 4 . ElLY., MOSQUITO QR <br /> State possible vector potentifil necessary control - <br /> 5 . <br /> ontrol :5 , TOILET/BATH FACILITES <br /> No . & location existing . Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HISTORY <br /> c <br /> 7 . QFNERAL SAIJIT `1. ION <br /> State any problems dot previously noted: <br /> 8 . EQPULATION DENSTTY / <br /> Apnx . No . People per eq . m i . <br />