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EMU <br /> Distance to Public Sewers Connection necessary: Yes--- No <br /> Does exiening septic system comply with Ord. 4549 : Yes-- No— <br /> Unknown---- if no, explain : <br /> Describe septic inztallatibn to be installed: <br /> I <br /> 2 . <br /> Is walgr supplied by private well : Yes No Is well proper: <br /> Yes - Vo_:__ State deficiency : <br /> Does ex ottnfs or porposed use make thin well p4lic water: Yes <br /> 11� <br /> No 7 11,!_ 1,4 <br /> Sample of well wnter taken: Yee_– No Date taken <br /> Additional information or comments <br /> 3 . <br /> Licenced sQaverger pick-up: Yes_ No Service Area No. <br /> Other proposed disposal method : <br /> Potential problem- <br /> 4 . <br /> State possibie vector potential necessary control: <br /> 5 , <br /> No, & location Additional <br /> facilitinz <br /> (T-12AMMA–MUM02 <br /> 7 . <br /> State any prabivmz nal previously note d : <br /> Appx , No , Deep!, per oqMi .__ <br />