Laserfiche WebLink
1. SEWAGE (2) <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: <br /> a <br /> 7-7 t <br /> Additional information or comments: s, <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes No Is well proper: Yes No <br /> State deficiency: <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. 2MRGE &,REFUSE <br /> Licensed scavenger pick-up: Yes o Service Area No. <br /> Other'prop+osed disposal method: <br /> Potential problem: <br /> 4. PLY OSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential dnecessary control.m _1 . <br /> 5. ATR POLLUTION POTENTIAL <br /> State possible burning orrocessi41 <br /> p ng pollutants & necessary control. <br /> b. TOIIELBATH FACILITIES <br /> No. & location existing: , Additional <br /> ti o <br /> P` Aditio 1 facilities needed <br /> 7« PREyiouS OPERATION HISTORY <br /> 3 <br /> CEN'ERAL SANITATION <br /> State a problems t previ®usly . /' 6 <br /> s <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br /> . u <br />:H _06 06 <br /> 3/?l F <br /> 4/'74 750 <br />