Laserfiche WebLink
1. SEWAGE <<� <br /> Distance to Public Sewers Connection necessary: Yes _ No _ <br /> Does existing septic system comply with Ord. #549: Yes. No Unknown <br /> If no, explain: `— — — <br /> Describe septic installation to be installed: 7' 7 <br /> Additional information or comments: 4) ,{ p Sl <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes No Is wellproper: Yes — No . <br /> State deficiency: 1 Gv e 2 a <br /> Does existing or proposed use make this well public water: Yes L'No _ <br /> Sample of well water taken: Yes _ No /Y Date Taken Results <br /> /� <br /> Additional information or comments: 4 ro V'3 <br /> 3. GARBAGE & REFUSE Ss <br /> Licensed scavenger pick-up: Yes _ No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POMiTIAL - <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. GEiaTERAL SANITATIot1 <br /> State any problems not previously noted: �Q g <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />