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1. SEWAGE <br /> Distance to Public Sewers <br /> Does <br /> Il existing septic systeConnection necessary.:__:.Yes Nomcompy with Or . #r49: yes'.explain: No Un <br /> known . . <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Zs water supplied by private ti+oll: Yes <br /> State deficiency: NO -•-- Is well Proper: YesNo � . <br /> Does existing or proposed use make this well public water: Yes <br /> Sample of well water taken: Yes No <br /> Ito __ Date Taken <br /> Results'_'+ ' <br /> Additional information or comments: <br /> 3. GARDAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No <br /> Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> FLY MOSQUIM OR VEMn P017TlTIAL <br /> State possible vector potential & necessary control: <br /> ------------- <br /> S. AIR POLLUTION POTEN'r'IAL <br /> State possible burning or processing pollutants & necessary_ '' teary control. <br /> 6. ToiLET/BA17i FACI�S <br /> No. Se location existing: • <br /> 7. PREVIOUS OPERATION 1,ISMRY Additional facilities needed <br /> d. GENERAL SANITATIO11 <br /> State any problems not previously noted: <br /> 9. FOPUTATIO14 DENSITY <br /> Appx. i10. People per sq. mi. <br />