Laserfiche WebLink
1 . ►SEWAG F <br /> Distance to Public Sewersy /Connection necessary: Yes Nom. <br /> Does existing septic system comply with Ord. 4$549 : Yes No— <br /> Unknown— <br /> o_,Unknown If no, explain: <br /> Describe septic in tallat,ion to installed: $ <br /> Z . WATER SUPPLY <br /> Is water supplied by private well : Yes No-,,x' Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public water: Yesi.�r <br /> No Sample of well water tarsen: Yes No Date taken <br /> Results Ad itional 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 . E1.LY­L MOSQUITO OR V ECT02 EC)M AL <br /> State possible vector potentiftl & necessary control : �o-✓� <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing: /���� Additional <br /> facilities needed <br /> 6 . PREVIOUS OP +,RATI014 HISTORY <br /> 7 . GENERAL SAP ITaTION <br /> State any problems not previously noted: ia✓-•'+� <br /> S . POPULATION LSE NSTIX <br /> Appx. No . People per req . mi . <br />