Laserfiche WebLink
1 . SSE <br /> Distance to Public Sewers Connection necessary : Yes_ No_ <br /> Does existing septic system comply with Ord . 0549 : Yes_ No <br /> Unknown If no , explain: <br /> Describe septic installation to be installed: <br /> 2 . WATER SUPPLY <br /> Is wate'r supplied by private well : Yes i1o_ Is well proper: <br /> Yes_�L No_ State deficiency :_ <br /> Does _exfsting or porposed use make this well pu t water: 'les <br /> No Sample of well water tarsen: Yes_ No_ Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed stave ger pick-up: Yes— No_ Service Area No. <br /> Other proposed sposal method: <br /> Potential problem• — <br /> 4 . $jLy� MOSQijITO nRy Thi 'Fsif jjT?tlu <br /> State possible vecto potentir,l & ne_essary control : <br /> 5 . TnILET/BATH FACILITES <br /> No . & location existing : _ Additional <br /> facilities needed <br /> 6 . PREVIOUS OPER.A.TTON HZaT <br /> 7 . GFNFRAL SANTTA' QM <br /> State any 7116lems riot previously noted: <br /> 9 . rF^ j',3ITY <br /> Appx . No . People per sq . mi . <br />