Laserfiche WebLink
1. SEWAGE 12) <br /> Distance to Public Sewers Connection necessary: Yes _ No 4-1 <br /> Does existing septic system comply with Ord. #549: Yes No Unknown <br /> IY iso; -explain:•.,..•.. _-. — _ — <br /> Describe septic installation to be installed: <br /> Additional information or comments:so <br /> fie+ _ <br /> 2. WATER SUPFLY /-a ✓ j /n <br /> 19-'water supplied by private well: Yes _ No Ia well proper: Yea r/ No <br /> T — <br /> Does existing or proposed use make this well public water: Yes Nolte! <br /> Sample of well water taken: Yes _ No _ Date Taken Results <br /> Additional information or comments: -tr'X_ .gyp <br /> 3. GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes _ No v_ Service Area No. <br /> Other proposed disposal method: <br /> Potentt&I problem: -!�76 r--,,A-oa��i � � <br /> LY � 1 �. v ct.d,s _ <br /> 4. F , MOSQUITO OR VECTOR I-OTENTIAL Alo t4' d r- -A.0 T�� � �/ `c'r f1_o <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control; <br /> 6. TOILET/BATT! FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. ?REVIOUS U1'LhATION HISTORY <br /> 8. GEIrT.RAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. --- <br /> �. 51 y`n <br />