Laserfiche WebLink
1 . SERE <br /> Distance to Public Sewers Connection necessary : Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain : <br /> Describe septic installation to be installed : <br /> 2 . WATER SUPPIY <br /> Is water supplied by private well : Yes No 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 /> 3 . <br /> omments3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: _ <br /> 4 . FLY. MOSQUITO OR 1ECTORFOLLAZI L <br /> State possible vector potential & necessary control : <br /> 5 . Tq /BATH FACIL= <br /> No . & location existing: __.. Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HISTORY <br /> 7 . GENERAL SANTA TA ION <br /> State any problems not previously noted.- <br /> 8 . <br /> oted:S . POPULATILMJTt=- <br /> Appx . No . People per sq . mi ._ <br />