Laserfiche WebLink
(2) <br /> 1. SEWAGE ` . <br /> Distance to i'ublic Sewers Connection necessary: Yes _ No <br /> Does existing septic system comply with Ord. , 549: Yes No Unknown <br /> If no, explain:.._._. — — _ <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> I*'water supplied by private well: Yes EJo Is well proper: Yea No <br /> S-t$te deficiency: <br /> Does existing or proposed use make this well public water: Yes No ----�i <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REW SE <br /> Licensed scavenger pick-up: Yes _ No _ Service Area No. <br /> Other proposed disposal method : <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR I-0TENTIAL <br /> State possible vector potential & necessary control: <br /> S. AIR POLLUTION POTEIMAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET RATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. 1.)REVIOUS Ol'LitATION HISTORY <br /> $. GENTML SAW1TATION <br /> State any problems not previously no-,,j : <br /> T <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />