Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No— <br /> Does existing septic system comply with Ord . #549 : 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 thi3 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 . ELLY_L MOSQUITO OR VEQTOR POf nT_TAL <br /> State possible vector potentiFtl & necessary control : <br /> 5 . TOILET/BATTI FACILITES <br /> No . & location existing: _ Additional <br /> facilities needed _ <br /> 6 . PRFVICr1S OPERATION <br /> 7 . GENERAL SAJUTA'1 Lo <br /> State any problems trot previously noted: <br /> 8 . EMILATION DENSITY <br /> Appx. No . People per r_•q . m i . <br />