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Distance to ?ublic Sewers Connection necessary: Yes lao <br /> Does existing septic system comply with Ord. #549: Yes No Unknown <br /> If no, explain: <br /> Describe septic installation to be installed: ►rt ;; i' Gvh <br /> o - Additional i.nformatio or comments: <br /> 2 WATER SUPPLY / <br /> Is water supplied by private well: Yes Nov Is well proper: Yes too <br /> State deficiency: <br /> Does existing or proposed use make this well public water: Yes =----No. <br /> Sample of well water taken: Yes _ No Date Taken Results <br /> Additional information or comments:REFUSE <br /> be , -t3- <br /> GARBAGE O- <br /> Licensed scavenger pick-up: Yes _ No Service Area No. <br /> Other proposed disposal method. <br /> Fotential problem: <br /> 4. FLY, MDSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary. control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. `IUILET/SATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY <br /> v. GENERAL SANITATION <br /> State any ,problems not previously noted : - <br /> 9. 1-OPULATION DENSITY <br /> Appx. No. People per sq. mi . <br />