Laserfiche WebLink
1 . S E W A t' <br /> Distance to Public Sewers L- ,---,Connection necessary: Yes—(No�_ <br /> Does. existi septic system comply with Ord . #549 : Yes No_ <br /> Unknown_ rIf no, explain: <br /> Describe septic installation to be installed: <br /> nJ,,� of -/It, 5 � e <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is well proper: <br /> YesNo State deficiency: <br /> Does e fisting or purposed use make this well pub],,ic water: Yes <br /> No V Sample of well water taken: Yes No V Date taken <br /> Result, Additional information or comments <br /> 3 . GARBArE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method : <br /> Potential problem: /Vrrne <br /> 4 . FLY , MOSQUITO OR-VECTOR POTENTIAL <br /> State p ssible vector potential & necessary control : <br /> N <br /> 5 . TOIT,E�/RATH FACT TTF� <br /> No . & location existing : -{' <br /> Additional <br /> facilities needed N vtc <br /> 6 . PREVIOUS OPERATION HISTORY <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted : <br /> 4 Lnrn e- <br /> 8 . POPULATION DENSITY <br /> Appx. No . People per sq . mi . L-l'i <br />