Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes_ No X <br /> Does existing septic system comply with Ord . 0549 : Ye81— No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: 441Adtjo <br /> � <br /> F <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No_ Is well proper: <br /> Yee-L- No_ State deficiency : <br /> Doe 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 k No_ Service Area No. <br /> Other proposed disposal method: <br /> Potential problem : A. 7it <br /> State possible vector potential & necessary control : <br /> 5 . TQILET/BATH FACILITES <br /> No . & location existing: Z `A%W f Additional <br /> facilities needed <br /> 6 . PREVIOUS rPFRATInN HISTdEtY <br /> // t If) 0 L 2 /h 6,7,W-1z, � � 'Lv <br /> 7 . ERA . SANITATION �/ <br /> State any problems not previously noted :_ <br /> S . POPU .ATIOt4 DENSTTv. /A^ <br /> Appx. No . People per sc1 . mi . �' J <br />