[] A public system such as a city water department, or private company?
[] An individual drilled well?
[] An individual dug well?
[] Some other source such as a spring, creek, river, cistern, etc.?

"If a well provides water for five or more houses, apartments, or mobile homes, mark A public system. If a well provides water for four or fewer houses, apartments, or mobile homes, fill one of the circles for Individual well. Drilled wells, or small diameter wells, are usually less than 1 1/2; feet in diameter. Dug wells are generally hand dug and are larger than 1 1/2; feet wide."

[] A public system (city water department, etc.)
or private company?
[] An individual drilled well?
[] An individual dug well?
[] Some other source (a spring, creek, river, cistern, etc.)?

[] A public system (city water department, etc.)or private company?
[] An individual well?
[] Some other source (a spring, creek, river, cistern, etc.)?

"If a well provides water for six or more houses or apartments, mark a public system. If a well provides water for five or fewer houses or apartments, mark an individual well."

[] a public system (or private company)?
[] an individual well?
[] some other source?