Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Nti- Connection necessary : Yes— No_ <br /> Does existing septic system comply with Ord . 0549 : Yes_ No_ <br /> Unknown IP no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well : Yes t/ No_ Is well proper: <br /> Yes— No_ State deficiency : <br /> Doe s, existing or porposed use make this 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 . FLY . MOSQUITO OR VROTOR PO'[ZNTIA <br /> State possible vector potentiatl & necessary control: Uo ub <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing: Additional <br /> facilities needed <br /> 6. PRRVIOUS OPERATION HISTORY <br /> I euCK Mh�ur/ta�rkc Js42>�� - <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted : <br /> )'�t <br /> 3 . POP 1 .ATI N DENSITY <br /> U�CAL <br /> Appx . No . People per eq . mi. <br />