Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> r <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 /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes _ IJ Is well proper: Yes _ No <br /> State deficiency: <br /> Does existing or proposed use make this we <br /> l ublic water: Yes N _ <br /> Sample of well water taken: Yes _ No ate Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & HENUSE <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 /> S. AIR POLLUTION POTEIJTIAL <br /> State possible burning or processing pollutants & necessary control: ✓� <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: /V Additional facilities needed <br /> 7. P&EVIOUS 01'EhATION HISTOlik <br /> 8. GENERAL SANITATION <br /> State any problems not previously noted : JL- <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />