Laserfiche WebLink
1. SEWAGE <br /> (2) . <br /> Distance to Public Sewers Connection necessary: Yes No <br /> Does existing septic system: comply with Ord, 9549: Yes No Unknown <br /> Describe septic installation to be installed: <br /> Additional--information or comments: <br /> 0A..) <br /> 2. WATER SUPPLY <br /> I :'iate�' suNplied by private wellz Yes <br /> No V Is well proper: Yes No <br /> t06--deficiencyc <br /> @•. r .. <br /> Does existing or proposed use make this well, public water: Yes No ---�i <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & RMSE <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 /> w <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTEIJTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6.,. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed w <br /> 7. ?MVIOUS O!'EhATION HISTORY <br /> 8. GE147-RAL SANITATION <br /> State any problems not previously no cd: <br /> 9. 'POPULATION DENSITY . <br /> Appx. No. People per sq. mi. - <br />