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(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 /> Descri septic i�tallation to be installed: h / <br /> AM4.tional i or commentsgot: <br /> 2. WATER SU= FLY <br /> Is water supplied by private well: Yes _ No _ Is well proper: Yes �`-- No <br /> Does existing or proposed use make this well public water: Yes _ No <br /> Sample of well water taken: Yes _ No _ Date Taken Results r�J <br /> Additional information or o ents .Sp�,.0 <br /> 3. GARBAGE & REFUSE �J <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: <br /> a <br /> 5. AIR POLLUTION POTENTIAL <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 /> 8. GEINERAL SANITATION <br /> State _any+roblem ously I oted: �► <br /> '1007 <br /> 1 :4 <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />