Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes _ No _ <br /> Does existing septic system comply with Ord. 4549: Yea No Unknown <br /> If no, 4xplain <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> IQ-'water supplied by private well: Yes — NO Is well proper: Yes No <br /> S.-t$te deficiency: --e- <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: <br /> 3. GARBAGE & WIME <br /> Licensed scavenger pick-up: Yes _ No _ Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR PE.CTOR I-OTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. 1.)f&MOUS 01,LhATION HISIURY <br /> 8. GE14ERAL SANITATION <br /> State any problems not previously no-,,j : <br /> 9. POPULATION DENSITY <br /> Appx. No. ?eople per sq. mi. <br />