Town of Sandy Creek Public Sewer Interest Survey Question Title * 1. Property Address Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Question Title * 2. Mailing Address (if different than property address above) Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Question Title * 3. Tax Parcel ID (this can be found on the mailing label on the envelope that was mailed to you) Question Title * 4. E-mail Address Question Title * 5. Phone Number Question Title * 6. How do you currently dispose of your sanitary sewage? Septic tank and leach field Cistern/dry well Holding Tank Aerobic Treatment System Unknown Other (please specify) Question Title * 7. Approximately how old is your wastewater disposal system? 0-5 Years 6-10 Years 11-15 Years 16-20 Years 21-25 Years 26-30 Years 31-35 Years 36-40 Years 41-45 Years 46-50 Years 51+ Years Unknown Question Title * 8. Have you ever experienced any problems with your current wastewater disposal system? No Yes (please describe) Question Title * 9. Have you constructed any upgrades to your wastewater disposal system in recent time? No Yes (What and why?) Question Title * 10. Are you concerned about the remaining "life" of your current wastewater disposal system? Yes No Question Title * 11. Is your current wastewater disposal system adversely impacted by a seasonally high ground water table, or surface water? Yes No Question Title * 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.)? Question Title * 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? Yes No Question Title * 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)? Yes No Question Title * 15. Comments, Questions, Concerns? Done