Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> Distance to Public Sewers _ {�r Connection necessary: es _ No <br /> Does existing septic system comply with Ord. #549: Yes necessary: <br /> _ Unknown <br /> If no, explain: <br /> Describe se tic installation to be <br /> installed: <br /> 2 c 4 d IC <br /> Additional information pr comments: © Arr-W Ovil A,e- 2 'rel--z al5, <br /> Pr d✓ W r h d VIC W/ S /MP3/a 3 <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes 1414o <br /> �No Is well proper: Yes 1�No 1 <br /> State deficiency: /2/0 <br /> Does existing or proposed use make this well public water: Yes No.._ Pr�� <br /> Sample of well water taken: Yes _ No L Date Taken Results <br /> Additional information or comments: f A- ' . 'J i <br /> 3. GARBAGE & REFUSE / <br /> Licensed scavenger pick-up: Yes _ No Service Area No. L���G�riBtiy� <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL / <br /> State possible vector potential & necessary control: cJ�4 <br /> o z <br /> Dr Per- — d400� s vis' <br /> 5. AIR PO LLU TION POTENT31L / <br /> State possible burning or processing pollutants & necessary control: Ao r h <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY <br /> L/ <br /> 8. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. L�`✓ <br />