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* 1. Property Address

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* 2. Mailing Address (if different than property address above)

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* 3. Tax Parcel ID (this can be found on the mailing label on the envelope that was mailed to you)

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* 4. E-mail Address

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* 5. Phone Number

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* 6. How do you currently dispose of your sanitary sewage?

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* 8. Have you ever experienced any problems with your current wastewater disposal system?

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* 9. Have you constructed any upgrades to your wastewater disposal system in recent time?

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* 10. Are you concerned about the remaining "life" of your current wastewater disposal system?

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* 11. Is your current wastewater disposal system adversely impacted by a seasonally high ground water table, or surface water?

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* 12. On average, how much do you spend annually for maintenance of your current on-site disposal system and septage disposal (i.e., for pumping, chemicals, back-ups, etc.)?

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* 13. Would you be in favor of public sewers in your area to improve the quality of life, health, welfare and safety of Town residents, and ability to attract and retain economic growth?

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* 14. Understanding that the Town will keep the cost as low as possible, would you be interested in a turn-key public sewer system at a cost of about $100 per month (including all installation, debt and operating/maintenance costs)?

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* 15. Comments, Questions, Concerns?

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