Defining Problems & Questionnaire
Problematic Symptoms? (specify if 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: