Laserfiche WebLink
1 . SEWAGE <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 SUPPLY <br /> Is water supplied by private well : Yes 1(==—_ iso Is well proper: <br /> Yes_4,---I4o 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 . GARBAGE & REFUSE <br /> Licenced scavenger pick-up: Yes No ._ Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FLY. MOSQUITO OR VZ^TQ =)i'f11 TAT, <br /> State possible vector potentiFtl & necessary control : <br /> 5 . TQTLFT/BATH FACILITES <br /> No . & location, existing : — Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATT <br /> 7 . GENERAL SA2UTgTJ-0N <br /> State any prot�lemo not previously notes <br /> 3 . EnpuLATTpN DFN ST X <br /> APpx . No . People per 6q. mi . <br />