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HomeMy WebLinkAboutMiscellaneous - 342 MARBLERIDGE ROAD 4/30/2018 (2)1. Name WATERSHED RESIDENTS QUESTIONNAIRE U 1 n A/1' tA1/1/1 T I'd LAOW- . F1- 2. Street Address 3Y2 ��au-b�evi'd 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool ❑ septic tank and leaching area 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 B' do not know'-. 6. How old is your sewage disposal system? 9' 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 2' 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 ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ©never 9. Have you had any problems with your sewage disposal system? ❑ yes E!]-� 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 J_ garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub a 11. Please state the brand and ty,Pe (liquid or powder) of detergent you use for: dishwasher r-aSC cc P clotheswasher 6o (rA l� 12. Does your property have a lawn? 9,- yes. ❑ no If yes, approximately what size? ❑ less than '/4 acre_ I ❑ 1/4 acre ❑ 1/2 acre gr3/4 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