HomeMy WebLinkAboutMiscellaneous - 29 HEATH ROAD 4/30/2018rl)
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name
2. Street A
3. How many members are in your household.?
4.
What type of sewage disposal system do you have?
El cesspool
0 septic tank and leaching area
IM connection to municipal sewer
El other (describe)
[I do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
El yes El no do not know -
6. How old is your sewage disposal system? 0 0-5 years El 6-10 years 11-20 years
El over 20 years El do not know
7. Has your sewage disposal system been rebuilt or repaired?
EJ yes X no El do not know
If yes, approximately how long ago?
years. What was done?
8. How frequently is your sewage disposal system pumped out? El annually
El every 2-4 years El every 5-10 years El over 10 years X never
01 yes no
9. Have you had any problems with your sewage disposal system? El
- - If yes, what problems? -outs needed
El repeated pump
[I system clogs, backs up, or drains slowly
El odors
El sewage surfaces through ground
10. How many of each ap e are connected to you sewage disposal system?
washing machine dishwashe garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains showertbathtub
11. Please state the and and type (liquid or powder of detergent you use for:
dishwasher 14.Q.V- —Casrads, bn,5 Ail
clotheswasher r I 1"al 1, CL A Ge P
12. Does your property have a lawn? X yes D no
If yes, approximately what size?
F-1 less than 1/4acre D % acre Ej 1/2 acre 3/4acre El 1 acre
El more than 1 acre (Specify) — acres
13. How often do you fertilize your lawn?
No. of applications per year —
Season(s) of the year 54-14A
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
aj_a�'� i;x
Check here if your lawn J maintained by a professional landscape contractor.