HomeMy WebLinkAboutMiscellaneous - 200 SANDRA LANE 4/30/2018 (2)WATERSHED RESIDENTS QUESTIONNAIRE
1. Name 4PA" c..
2. Street Address V -OO S -tea Li4AtW_,
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
❑/ septic tank and leaching area
Q 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?
L� yes ❑ no ❑ do not know'--
6.
now 6. How old is your sewage disposal system? ❑ 0-5 years 1 6-10 years ❑ 11-20 years
❑ over 20 years ❑ do not know
7. Has your se 7no
disposal system been rebuilt or repaired?
El yes ❑ do not know
If yes, approximately how long ago? years. What was done? _
8. How frequently is your sewage disposal system pumped out? Q/ annually
{
❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? CyJ yes ❑ no
If yes, what problems?
❑ repeated pump -outs needed
Vsystem 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 garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub, _L
I . . M
11. Please state the brand and type (liquid o�,r,powder) of detergent you use for:
dishwasher ��-��"+��s� �- �''e IM
dishwasher
clotheswasher Fes► g _ /�
12. Does your property have a lawn? Ls yes ❑ no
Ves, approximately what size?
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 Z'
a Season(s) of the year 441'9-- Zt; 124 1414—'
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
�Gr• ��`��rl�y � �G���l��g� a i2
❑ Check here if your lawn is maintained by a professional landscape contractor.