Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers > Connection necessary: Yes_ No_ <br /> Does existing septic system comply with Ord. #549 : Yes_ No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: ,-9141 <br /> 2 . WATER SUPPLY <br /> Is wat r supplied by private well : Yes ,<—' No_ Is well proper: <br /> Yes No_/State /deficiency: <br /> Doesz xisting or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes_ No_ Date taken <br /> Result 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: x;"041 <br /> 4 . FLY , MOSQUITO OR VECTOR POTRNTTAL <br /> State possible vector potential & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HIISSTORY <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: <br /> 8 . POPULATION DENSITY h <br /> Appx. No . People per sq . mi . <br />