HomeMy WebLinkAboutMiscellaneous - 330 MARBLERIDGE ROAD 4/30/2018WATERSHED RESIDENTS QUESTIONNAIRE
1. Name gw/�^.r /%/�/C/s✓So-✓
2. Street Address .3-30 Q/
O3. How many members are in your household? y
4.
What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
Kconnection 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 f)' '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 X 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
OElevery 2-4 years ❑ every 5-10 years F-1over 10 years $I never
9. Have you had any problems with your sewage disposal system? ❑ yes Nil, 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 garbage disposal
dehumidifier drain sump pump toilet 3
roof/pavement drains shower/bathtub ;2
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasherbUJQ,0_
clotheswasher T/,iAt L/ryiD
12. Does your property have a lawn? $Z yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre IZI 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
Season(s) of the year 4 e �,:w A t -
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
5 `YLa_A X. vLtAll
v
❑ Check here if your lawn is maintained by a professional landscape contractor.