Laserfiche WebLink
1. SEWAGE <br /> Distance to Public Sewers Al Connection necessary: Yes N <br /> 0 <br /> Does existing septic system comply with Ord. 9549: Yes �� No <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well.- Yes ✓ No Is well proper: Yes No <br /> State deficiency: <br /> ! <br /> Does existing or proposed use make this well public water: Yes No ✓ Sample of well <br /> water taken: Yes No Date taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE i <br /> Licensed scavenger pick-up: Yes ✓No Service Area No. <br /> Other proposed disposal method: /l w,.R <br /> Potential problems: r�.a <br /> ! <br /> 4. FLY MOSQUITO, OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: ! ilY <br /> 5. TOILET/BATH FACILITIES <br /> No. & location existing: / A <br /> Additional facilities needed <br /> 6. PREVIOUS OPERATION HISTORY <br /> 7. - GENERAL SANITATION <br /> State any problems not previously noted: r7 <br /> k <br /> 8. POPULATION DENSITY <br /> Appx. number of people per square mile <br />