Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . $1549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic insta:_lation to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is well proper: <br /> Yes No State deficiency: <br /> AOL <br /> Does existing or porposed use make this weal public water: Yes <br /> No _ Sample of well water taken* Yes No Date taken <br /> Results Additional information or comments <br /> 3 . ISE <br /> Licena scavenger pick-up: Yes No Service Area No . <br /> Other pr osed disposal method: <br /> Potential roblem : <br /> 4 . FLYL sc r R VEQTORPC'fJTJAL <br /> State possible ector potentiftl 8c necessary control: <br /> 5 . TQILET/BATH FACT_1,1_1E5 <br /> No . & location existing : _ Additional <br /> facilities needed _ <br /> 6 . OPERATION PREVIOn^ r, T <br /> ,� _ I0N HISTnRY <br /> i <br /> i <br /> 7 . GENERAL SAiJT.ATION <br /> State any problems not previously noted:_ <br /> 8 . PQPULAT;2L)Ej-j-Tjv <br /> Appx. Nb. People per sq . mi . <br />