HomeMy WebLinkAboutMiscellaneous - 290 Bradford Streeta
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WATERSHED RESIDENTS OUESTIONNAIRE
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
9""septic tank and leaching area
El connection to municipal sewer
0 other (describe)
El do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
El yes El no &4Xdo not know
6. How old is your sewage disposal system? El 0-5 years 0 6-10 years E9"711-20 years
El over 20 years 0 do not know
7. Has your se disposal system been rebuilt or repaired?
El yes 7 n o F-1 do not know
If yes, approximately how long ago?
years. What was done?
8. -How frequently is your sewage disposal system pumped out? F��annually
0 every 2-4 years 0 every 5-10 years El over 10 years El never
9. Have you had any problems with your sewage disposal system? El yes [�I�no
If yes, what problems?
El repeated pump -outs needed
D system clogs, backs up, or drains slowly
F� odors
0 sewage surfaces through ground
10. How many of each applianc ' e are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain — sump pump toilet
roof/pavement drains — shower/bathtub
11. Please state the brand an type (liquid or powder) of detergent you use for:
dishwasher
clotheswasher ErgAvs
12. Does your property have a lawn? yes no
If yes, approximately what size?
El less than 1/4acre El 1/4 acre El 1/2acre E]"' 3/4 acre El 1 acre
7 more than I acre (Specify) — acres
13. How often do you fertilize your lawn?
No. of applications per y
Season(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
0 Check here if your lawn is maintained by a professional landscape contractor.