Laserfiche WebLink
` J <br /> 1. gKWAGK <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 /> U <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well : Yes _ No_ 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 taken: Yes_ No_ Date taken <br /> Results Additional information or comments <br /> 3 , GARRAGE & RR UySS- <br /> Licensed scavenger pick-up: Yes_ No_ Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FT.Y MOSQUITO OR VMOTOR POTENTTAL <br /> State possible vector potential & necessary control: <br /> 5 . TOILET/HATH EACIL.ITES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. PRRVTOUS CERRATTON HISTORY <br /> 7 . GENERAL SAN TATION <br /> State any problems not Previously noted: <br /> 8 . POPULATION D, NSTTY <br /> Appx. No. People per sq. mi. <br />