Laserfiche WebLink
Distance to i'ubiic ,,ewer4f-0 C2 <br /> 5 Connection necessary: Yes i.o _ <br /> Does existing septic syst m 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 SUPPLY <br /> Is water supplied by private well: Yes .,--y No �/Is well proper: Yes _ No <br /> State deficiency: <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 & REFUSE <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: f <br /> 5. AIR PO LLU TION PO TEN TIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY <br /> o r wrc� <br /> b. GENERAL SANITATION }� <br /> State any problems not previously noted: ��/ <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. ok <br />