Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes No_ <br /> Does existing septic system comply with Ord . 31549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by 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 . =L MOSQUITO O$ V ^TO PC)f2NTIAL <br /> State possible vector potentiftl & necessary control : <br /> 5 . TOILET/BATH FACILTTES <br /> No. & location existing : — Additional <br /> facilities needed <br /> 6 . PREVIOTIS OPERATION HISTORY <br /> 7 . QENERAL SANIT '1,� 'ION <br /> State any problem: not previously noted : _ <br /> 8 . F'OPULATI011 DEtL,3?Tv <br /> Appx. No . People per cq. mi . <br />