Laserfiche WebLink
Wellimter supply (continued) <br />IsAere a treatment system? <br />LE yes ❑ no / .5m A,— <br />Type of treatment: !rl�b eg <br />Is the wage�r sa pllng�olnt prior to <br />treatmenf? L7 Yes u no <br />Sampling lnformadon <br />May the well be unsealed to measure <br />depth to and of water? ❑ yes ❑ no <br />Depth of water. <br />Ground level to water. !i <br />May the well be pumped to measure <br />recharge chamowfttics? ❑ yes ❑ no <br />Recharge rate _ gpm <br />Date measured: <br />Date sampled.• <br />Well sample no: <br />ZAO iCN <br />Septic/sewage treatment system <br />❑ public service system <br />❑ aeration system <br />❑ package plant <br />(se tic tank <br />concrete <br />plastic <br />metal <br />other (explain) <br />drolnfleld <br />❑ other (explain) <br />Attach lab analysis of the pre- treatment water and any available written well <br />documentation. Provide source of documentation. <br />