Defining Problems & Questionnaire
Problematic Symptoms (specify - more than one may apply)?
- _Septic Odors
- _Slow Draining Plumbing Fixtures (Ex: Toilets, Sinks)
- _Ponding Or Sewage Breakouts
- _Lush Green Grass Over Parts Of System
- _Illegal Discharge
- _Other (Specify)
Basic Design / Repair Information:
- _ How Old is the Septic System (years)?
- _Is a Site/Property Map Available?
- _Is the Building Serviced by Well Water?
- _Septic Tank Size (gallons)?
- _Are Any Septic System Plans Available?
- _How Many Bedrooms?
- _Are Any Testing Results Available?
Is Your System Potentially A Difficult System?
Lot Size (acres):
_(Records Available from Tax Assessment Department at Town Hall)
Are Rock Ledges Visible at or Near the Property?
Is Surface Water Present on or Nearby the Property?
Are Wetlands Present at or Near the Property?
Numerous Problems Previously Experienced: