Laserfiche WebLink
I. SEWAGE <br /> Distance to 'Public Sewers Connection necessary: lyes No y <br /> Does existing septic system comply with Ord. ' <br /> If no, explain: lhu9: Yos• No Unknown .. . <br /> Describe septic installation to be installed: <br /> �1fk�fi <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well.: yes No -••- <br /> State deficiency: Is well Proper: Yes �/ No <br /> Does existing or proposed use make this wellwater: Yes ublic <br /> Sample of well water taken: Yes p No v , <br /> 1ro Date Taken Results~ <br /> Additional information or comments: -- <br /> 3. GARBAGE & REFUSE - f ` �f 00% ;; wwo% F 'Weft <br /> Licensed scavenger pick-up: Yes No >< Service Area No. <br /> Other proposed disposal, method: <br /> Potential problem: <br /> 4. FLY MOSQUITO OR VECTOR POTTNTIAL <br /> State possible vector potential & necess <br /> . ary control: <br /> 5• AIR POLLUTION POTMJTIAL <br /> State possible burning or processing pollutant., & necessary control: <br /> 6. mILE <br /> T/DATH FACILITIES <br /> No. & location existing: ' <br /> 7. PREVIOUS OPERATION HISTURy , Additional facilities needed <br /> d. GENERAL SANITAT101; <br /> State any problems not previously noted: <br /> 9. POPULATIO14 DENSITY <br /> Appx. iJo. People per sq. mi. <br />