Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers c,& P Connection necessary : Yes_ Nom_ <br /> Does existing septic system comply with Ord . 0549 : Yes_ No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed : <br /> 2 . WATER SUPgLY <br /> Is wat supplied by private well : Yes _ No_ Is well proper: <br /> Yes No— State deficiency: <br /> Does ting or porposed use make- this well public water : Yes <br /> No Sample of well water taken : Yes_ No bate taken <br /> Results Additional information or comments T_ /%to =1+ 4!�J <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes_ No_ Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. ELS MOSQUITO OR VECTOR EOOPEN` IAL <br /> State possible vector potential & necessary control : <br /> 5. TOJj2i /BATHFACILI=a <br /> No. & location existing: __ Additional <br /> facilities needed _ <br /> 6 . PREVIOUS RATION HISTORY <br /> *Eee, /P �x 's' r A0 <br /> 7 . GENERAL SANITATION ; <br /> State any problems not previously noted : _ <br /> 3 . POPULATION DENSITY <br /> Appx . No . People per sq. mi ._ <br />