Laserfiche WebLink
Si <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord. #549 : Yes No— <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . {CATER SUPPLY <br /> Is water suppliedby 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- <br /> 4 . <br /> roblem:4 . ELY. MOSQUITO Oji Vr,:^.TnR PO,rE NTTA <br /> State possible vector potentiftl ex necessary control: <br /> 5 . TOTLET/BATH FACILITES <br /> No . & location existing: Additional <br /> facilities needed <br /> 6 . PREVT0QS OPERATION HISTORY <br /> 7 . GENERAL SANTT TA ?ON <br /> State any problems not previously noted: <br /> .9 . POPU .ATT N ENSTTY <br /> Appx. No. People per sq. mi . <br />