Laserfiche WebLink
1 . �EWArE <br /> Distance to Public Sewers /7 � - Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septi inst ll a ion to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes No ' Date taken <br /> Results 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 : /�o'r <br /> 4 . FLY MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing : Additional <br /> facilities needed <br /> 6 . PREVIQU5 OPERATION HISTORY <br /> 7 . GENERAL SANITATION <br /> State any problems not previously rioted : <br /> g . POPULATION DENSITY <br /> Appx. No . People per Sq . mi . <br />