HomeMy WebLinkAboutMiscellaneous - 20 LISA LANE 4/30/2018N
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name /
2. Street Address Lae
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
X 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 ❑ do not know.
6. How old is your sewage disposal system? 0-5 years ❑ 6-10 years ❑ 11-20 years _
❑ over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
yes ❑ no ❑ do not know
If yes, approximately how long ago? —1 Z 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 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 art- connected to your sewage disposal system?
washing machine _ V dishwasher_ /L garbage disposal H
dehumidifier drain sump pump toilet a�
roof/pavement drains shower/bathtub_
11. Please state the brand and tye (liquid or powder) of detergent you use for:
dishwashert(,'eE,&
clotheswasher Iy
12. Does your property have a lawn? IN yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre 4 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year
Season(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.
North Andover Board of Assessors Public Access Page 1 of 1
http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=2&RecNo=1 5/12/2005
North Andover Board of Assessors Public Access Page 1 of 1
http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=2&RecNo=11 5/12/2005