Laserfiche WebLink
r <br /> 1 , <br /> 1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No-- <br /> Does existing septic system comply with Ord. #549 : Yez ' No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: 4(44- <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Iles < No Is well proper: <br /> Yes Ver <br /> State deficiency : <br /> Does xisting or porposed use make this well public water: Yes <br /> NoSample of well water taken: Yes No Date taken <br /> Results Additional information or comments � <br /> 3 . <br /> L tensed scavenger pick-up: Yes No Service Area No. <br /> Oth,er proposed disposal method: <br /> Potential problem: / <br /> 4 . FI�LL MQSOU„ITO OR Y 'r ) ZUEE IA / <br /> State possible vector potential. & necessary contrq_l� <br /> i <br /> 5 . TQ IL�ET/B} TA H £_A =la <br /> No. & location existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HISM. ' <br /> 7 . GENERAL SANITATION. <br /> State any problems of previously noted: <br /> 8 . FOPULATIO -IT,Y <br /> Appx. No. reople per sq. mi .-� <br />