Laserfiche WebLink
'S� 'q /- ;- � <br /> 1 . SEWAGF <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . tt549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes iso Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public Water: Yes <br /> No Sample of well water tarsen: 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 . <br /> roblem:4 . FLY . MOSQUITQ OR VEQTOR PQ rLVZIAa1 <br /> State possible vector potentirtl & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing : — Additional <br /> facilities needed _ <br /> 6 . PREVTOMS OPERATIn' C7£Y <br /> 7 . GENERAL SANIT,ATION <br /> State any problem.- not previously noted- - <br /> a . <br /> oted: -8 . POPULATI014 DENSTJ <br /> APpx . No . People per 6q . mi . <br />