HomeMy WebLinkAboutMiscellaneous - 47 SANDRA LANE 4/30/2018 47 SANDRA LANE
8.A-0070-0000.0
210/09 _
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WATERSHED RESIDENTS QUESTIONNAIRE
1. Name 15 41cy-eh �a h {. wett(d Ma h
2. Street Address —41 S Gt ndra Lit
3. How many members are in your household? 14
4. What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
C� connection to municipal sewer
❑ other (describe)
❑ do not know
5. Ar the plans (drawings) for your sewage disposal system on file with the Board of Health?
yes ❑ no ❑ 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 ❑ no [w�'' do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
O ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes ono
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 system7
washing machine A— dishwasher garbage disposal 1
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub —
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher C S CAVE
clotheswasher 7 D
12. Does your property have a lawn? Oyes ❑ no
If yes, approximately what size? ry��
❑ less than 1/4 acre El 1/4 1/4 acre 1/z 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 '4 i /r
Q Season(s) of the year S PRtN6r so M 'e
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
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❑ Check here if your lawn is maintained by a professional landscape contractor.