Laserfiche WebLink
1 . SSG F <br /> Distance to Public Sewers Connection necessary : Yes No— <br /> Does exis,ing septic, system comply with Ord. #549 : Yes No— <br /> Unknown--4— <br /> o_ <br /> Unknown 4 . If no, explain: <br /> Describe septic installation to.'be installed: <br /> )� c,�f YKes •fi <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is well proper: <br /> Yes No State deficiency : <br /> Does Besting 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 cavenger pick-up: Yes No Servic rea No . <br /> Other prop sed disposal method: <br /> Potential problem: <br /> 4 . FLY C) EC)rENTIAL / <br /> State possible etor potentiftl & ne scary control : <br /> 5 . TOILETIBATH FACILTITS <br /> No . & location existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS CPERAIION HT ;TORY <br /> 7 . GENERAL SAIII16TION <br /> State any problems not previously noted: <br /> 3 . POPULATIO14 DENSITY <br /> Appx . No . People per Bq . mi . <br />