Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes _� No _ • <br /> Does existing septic system comply with Ord. #549: Yes _ No Unknown <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUFFLY <br /> Is water supplied by private well: Yes _ No V Is well proper: Yes _ No _ <br /> State deficiency: <br /> n nn,c r- , � „ f V'\�,"+ e w ��� ;,.. ._ Vit, <br /> Does existing or proposed use make this well public water: Yes _ No. _ <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REb`USE <br /> Licensed scavenger pick-up: Yes ',"' No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: VV <br /> 5. AIR PO LLU TION PO TEI4 TIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. ?REVIOUS OPERATION HISTORY <br /> 6. GE14ERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. tx/�c <br />