HomeMy WebLinkAboutMiscellaneous - 800 Morningside LaneI
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WATERSHED RESIDENTS QUESTIONNAIRE
1. Name
2. Street Address C�� —�
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
M
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
El yes F-1no�do not know' --
6. How old is your sewage disposal system? El0-5years EJ6-10years El 11-20 years==-'
Elover 20 years o not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes ❑ nd 5�-'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? ❑ yeso
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 applian a 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 and type (liquid or powder) of detergent you use for:
dishwasher
clotheswasher
12. Does your property have a lawn? &? yes ❑ 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 lawn?
No. of applications per year
Season(s) of the year /) y �F✓ ✓
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.