Laserfiche WebLink
1. SEWAGE I <br /> i <br /> Distance to Public Sewers Connection necessary: Yes No. <br /> Does existing septic system comply with Ord, 1549: Yes. No ' �nknown <br /> If no, explain: <br /> Describe septic installation be installed: c <br /> Additional information or comments: <br /> 2. WATER SUPPLY / <br /> Is water supplied by private well: Yes _ No ✓ Is well proper: Yes _ No <br /> State deficiency: /J/4 <br /> Does existing or proposed use make this well public water: Yes No <br /> Sample of well water taken: Yes No ZDate Taken Results <br /> Additional information or comments: t s %o ccz�z r�r /d 47. „ 4e <br /> 3. GARBAGE & REFUSE /w R� Sys¢e " . <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 po sible vector potential & necessary control: <br /> d e <br /> 5. AIR PO LLU TION PO TEN TIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: ��� Additional facilities needed Amim <br /> 7. PREVIOUS OPERATION HISTORY . <br /> S. GENERAL SANITATION <br /> State any problems not previously noted: <br /> -4L e - <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. &Z,) ; „Adm (Jm <br />