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9XEConnection necessary: Yes No_ <br /> .Distance to 'Public' Sewers <br /> Does existing sePtic. system comply with Ord. #549 : Yes No— <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> M <br /> 2. WATE <br /> E <br /> Is wat supplied by private we'll: Yes l� No Is well proper: <br /> Yes No State deficiency'C <br /> Does existing or porposed usellmake this well public crater: Yes <br /> NoSample of well water taken: Yes No Date taken <br /> Resulta Additional information or commentB.�. �� ., — F <br /> eye 400' <br /> y Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal. method: <br /> Potential problem: <br /> 4. n ►' C <br /> State possible vector potenti`fel & necessary control: <br /> ,F <br /> I M1 <br /> 5, TOILET/BATH CACiLITES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. P.REVTQ"S OPERATION n <br /> At, Y ' •.e� /Va ;-Az <br /> / <br /> 7. GENERAL SANITATM22 <br /> State any problems not previously noted: <br /> a . POPULATIfQU DRUSTTY <br /> Apex. No. People per .sq. mi. <br />