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1. SEWAGE / <br /> Distance to Public Sewers � • <br /> Connection necessary: iyes No <br /> Does existing septic system comply witli Ord. <br /> N-49: Y <br /> Il no, explain: yes. _ No _ Unknown . . <br /> Describe septic installation to be installed: <br /> .Additional information or comments: <br /> 2. WATER SUPPLY w <br /> Is water supplied by private uoll: Yes -• <br /> No Is well proper: Yes _ No <br /> State deficiency: <br /> Does existing or proposed use make this wellublic water: Yes _ _ <br /> p No <br /> Sample of well water taken: Yes — <br /> No Date Taken � <br /> Additional information or comments: Results <br /> 3. GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No _ Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: ' <br /> Lt. FLY, MOSQUITO OR VECTOR POIENTIAL <br /> State possible vector potential & necessary . <br /> • ary control. <br /> 5. AIR PO LLU TION PO TSN TAIL <br /> State possible burning or processing pollutants & necessary control: <br /> 6• TOILET/DAT1i FACILITas <br /> Ivo. & location existing: <br /> Additional facilities needed <br /> 7. PREVIOUS OPERATION IIISTORY , <br /> ti. GEUMML SANITATI011 <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. ido. People per sq. mi. <br />