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1. SEWAGE , <br /> Distance to Public Sewers ,,. . <br /> Does existing septicConnection necessary: } Yes ` No <br /> If no, explain: system comply with Ord. Nj49. yes. No Unmown <br /> Describe septic installation to be installed: <br /> � <br /> fE�/ f�y�f„' x,C�' f D <br /> o <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well ; <br /> State deficiency: /J : Yes No Is well pro <br /> - P per: Yes No <br /> l' � <br /> /� <br /> Does existing or proposed use make this well public water: Ye <br /> Sample of well water taken: s _.." No _ <br /> Yes ._.. No �, Date Taken Results <br /> Additional information or comments: /��`f ✓; A <br /> 3. GARBAGE & REFUSE 9.00�F✓.✓¢a `r ""1 �O�'�fyda �,�� <br /> Licensed scavenger. pick-up: Yes _ <br /> No Service Area No. <br /> Other proposed disposal method: ` <br /> Potential problem: . <br /> 4. FLY MOSQUITO OR VECTnR POTE14TIAL <br /> State possible vector potential & necessary control: <br /> 5• AIR POLLUTION POMITIAL <br /> State possible burning or processi <br /> nC pollutants & necessary control: <br /> 6. ToILET/13ATH FACILITIES <br /> No. & location existing: <br /> ?• PREVIOUS OPERATION HISTORY , Additional facilities needed <br /> &. GEIaTRAL SAKI TATIOIJ <br /> State any problems not previously noted; <br /> 9. POPUTATIO14 DENSITY <br /> Appx. iJo. People per sq. mi. <br />