Laserfiche WebLink
1• SEWAGE <br />Distance to Public Sewers/_ W (2, ' <br />Does existing septic system complym--- Connection necessary: yes No I/ <br />If no, explain: with Ord. #549: Yes _ No <br />Unknown _ <br />Describe septic installation to be installed: <br />Additional information o11 r comments: <br />2. WATER SUPPLY <br />Is water supplied by private well: Yes <br />as tlefic ency: t4O _ Is well proper: yes No <br />Does existing or proposed use make this well public water: Yes <br />Sample of well water taken: Yes _ No _ No <br />Additional information or comments: — Date Taken Results _ <br />3. GARBAGE & REFUSE <br />Licensed scavenger pick-up: Yes —No _ Service Area No. <br />Other proposed disposal method: <br />Potential problem: <br />4. FLY, MOSQUITO OR VECTOR POTENTIAL <br />State possible vector potential & necessary control: <br />F: <br />5. AIR POLLUTION POTENTIAL <br />State possible burning or processing pollutants & necessary control: <br />/ui}'ft( . <br />L MILET/BATH FACILITIES <br />No. & location existing: �- <br />i <br />Additional facilities needed <br />b GENERAL SANITATION <br />State any problems not previously noted: <br />COPULATION DENSITY <br />ippx. No. People per sq. mi. <br />