Laserfiche WebLink
r <br /> 1 . SEWAGE � v <br /> ` v r <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 /> 2p,2L mAllyd 90-3312- 6,2 x 3 x �r 300 ' <br /> De cribe septic insttal ation to beL i Esta led: 73"/ LL <br /> /SiS Gl9 <br /> S /7S "d. <br /> Z . WATER SUPPLY <br /> Is water supplied by private well : Yes x No Is we" proper- <br /> Yes— <br /> roper:Yes / No <br /> X State deficiency: <br /> Does existing or porposed use make this well public water: Yes X <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> paJ�c� �y �n� r�,a�•r� �m f� rGff�a�4 c�,�`.�i u,� <br /> 3 . GARBAGE & REFUSE <br /> . Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . =„ MOSQUITO OR V E fULIECU NTIAL <br /> State possible vector potential & necessary control : <br /> 5 . TQILET/BATH FACILITES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS OPE/R�ATION HISTORY <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: - <br /> 3 . <br /> oted: _3 . POPULATIQN DE1=_1 <br /> Appx. No . People per sq. mi . - <br />