Laserfiche WebLink
l�J <br /> 1. SEWAGE , <br /> Distance to Public Sewers Connection necessary: iYes _ ido ` .. <br /> Does existing septic system comply with Ord. ##549: Yes No Unknown <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> Additional information or comments: --- -- <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes 2- No + Is well proper: Yes _ Nd"' <br /> State encY: _20'),d 6 Y e.S T ✓u �y O r PS mit . z.�,z l(r° <br /> r <br /> Does existing or proposed use make this well public water: Yes _ No _ <br /> Sample of well water taken: Yes — No _ Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE S eo W <br /> Licensed scavenger pick-up: Yes _ No _ Service Area No. <br /> Other proposed disposal method: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control:'- <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY . <br /> 6. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx, No. People per sq. mi. <br /> r),a�o ee- <br /> le <br /> T � � <br />