Laserfiche WebLink
c <br /> ' i <br /> 1 . S E W A Q E <br /> Distance to Public SewersC� J 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: <br /> 2 . WATER SUPPI1Y <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 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method : <br /> Potential problem: - <br /> 4 . FLY. ., MQSQU1TQ GR_y C; PSSi'I:3VIIAL <br /> State possible vector potenti�t1 & net:;essary control : <br /> 5 . TQLj ET/BATH FACILITES <br /> No. & location existing : — —__ Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION H1,3-TEM <br /> 7 . <br /> State any problems not pre.vious).y noted : — — <br /> 3 . pOPtiLATI�� _L} y"�SITY <br /> Appx. No. People per sq. mi . - <br /> _ <br />