HomeMy WebLinkAboutMiscellaneous - 145 Sutton Hill Road j 145 Sutton Hill Road
WATERSHED RESIDENTS QUESTIONNAIRE
L 6 L
1. Name � k'-?
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2. Street Address
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
Ca' connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no `sj do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
❑ over 20 years k] do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes ❑ no ;, do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
❑ every 2-4 years ❑ every 5-10 years ` ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes N no
If yes, what problems?
❑ repeated pump-outs needed
❑. system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine dishwasher t garbage disposal
dehumidifier drain sump pump toilet 3
roof/pavement drains shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher 'Z._ q,_ ��'
clotheswasher � \0 uNN',, . 5' b�.� l ,
12. Does your property have a lawn? 12 yes ❑ no
If yes, approximately what size?
EL less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year '=t
Season(s) of the year f
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
52'*�Check here if your lawn is maintained by a professional landscape contractor.