Laserfiche WebLink
1 . 5FWAGE <br /> Distance to Public Sewers Connection necessary : Yes No— <br /> Does existing septic system comply with Ord . 0549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: kA x -11 �qy <br /> 2 . WATER SUPPLY <br /> Is wat r supplied by private well : Yes iso Is well proper: <br /> Yes. No State deficiency: <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 /> �arole. b?Ao6' ' leu( S 0i SUFI S� <br /> 3 . GARBAGE & REFUSE S U <br /> Licensed scavenger pick-up : Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FLY . MOSQUITO OR VECTOR ' }ZEE T r, <br /> State- possible v ctor�*otentiftl Az necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location, existing : Additional <br /> facilities needed <br /> 6 . PRFVIor7S oPE2ATToj,4 HISTORY <br /> 7 . G .N .RAL SAJITTATTON <br /> State any problems not previously noted : <br /> 8 . P(-)PULATIO14 DE% <br /> Appx. No . People per sq . mi . <br />