Laserfiche WebLink
k S KW <br /> �A <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 /> 4 <br /> 4 Describe septic installation to 'be installed: <br /> 2. WATER SUPPLY <br /> Is water supplied. by. private well: Yes No Is well proper.- <br /> Yes— <br /> roper:Yes No State deficiency: <br /> j <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 Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FLY. OR Vr,-,-,TOEZ PO'r 1NTIAL <br /> State possible vector potential & necessary control: <br /> 5. n FACI1,11ES <br /> No. & location existing: Additional <br /> facilities needed <br /> S. p_REVIOUS cEr$AITOU HiSTnRY <br /> 7 . GENERAL SANITATION, <br /> State any problems not previously noted: <br /> 3 . POEQ1,61T011 DRUally'. <br /> Appx• No. People per q. mi. <br />