Home Owner Questionnaire

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  2. (valid email required)
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  11. Is there, or will there be, gas drilling in your area?
  13. Are you satisfied with your water?
  15. Do you drink your tap water?
  17. Do you have any of the following problems with your water?


  23. If you are not on a municipal system, is your well at least 100 feet from the septic drain field?
  25. If you have a well, supply as much information about it as possible:
  29. What type of septic system do you have?

  34. Are there, or were there, any sources of groundwater contamination within 1/2 mile of your well?




  37. Have you ever had your water tested?
  40. If you have had your water tested, were there any problems found?
 

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