HomeMy WebLinkAboutMiscellaneous - 44 SUTTON HILL ROAD 4/30/2018 (2) 44 SUTTON HILL ROAD 3d
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WATERSHED RESIDENTS QUESTIONNAIRE
1. Name C A p M L _.
2. Street Address ,'`l a t2 0N tC( R b/
3. How many members are in your household? `
4. What type of sewage disposal system do you have?
❑ cesspool
El septic tank and leaching area
IK 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 do not know".--
6.
now"--6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ID/11-20 years"5--'
❑ over 20 years ❑ do not know
7. Has your sewagx disposal system been rebuilt or repaired?
❑ yes Y no ❑ do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annual y
El every 2-4 years El every 5-10 years, . El over 10 years never
9. Have you had any problems with your sewage disposal system? ❑ yes Tr/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 appliaryee are connected to your ewage disposal system?
washing machine ✓✓ dishwasher garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains _l/ shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher
clotheswasher b L /Yes
12. Does your property have a lawn? ❑ no
If yes, 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 laws?
No. of applications per year 'I�
OSeason(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
-0
2' Check here if your lawn is maintained by a professional landscape contractor.