Port Tobacco River Septic Survey
Please complete the brief survey below. The first 100 respondents will be entered in a random prize drawing for at least one septic pump-out voucher worth up to $400. New PTRC members are also eligible for an additional random prize drawing for at least two free pump-out vouchers worth up to $400 each. You must live in 20677 to participate in this survey.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Address:
*
Street Address
City
*
Please Select
Port Tobacco
State
*
Please Select
MD
Zip
*
You must live in 20677 to participate in this survey.
Are you interested in helping revitalize the Port Tobacco River?
*
Yes
No
Does your residence have a septic system?
*
Yes
No
Not sure
What type of septic system do you have?
*
Regular
Mound
Holding tank
Not sure
When was your septic system last pumped out?
*
0 to 3 years ago
3 to 4 years ago
4+ years ago
Not sure
Do you need help or information about repairing or replacing your septic system?
*
Yes
No
Tell me more
Would you have your septic pumped this year if you received a $100 voucher?
*
Yes
No
Tell me more
Get Involved with PTRC!
Are you interested in becoming a River Keeper, an official member of the Port Tobacco River Conservancy? ($50/year for adults, Free for Junior River Keepers ages 13 & under)
*
Yes
No
I'm already a member
Tell me more
Are you interested in volunteering with PTRC activities and events dedicated to the health of the Port Tobacco River and surrounding area?
*
Yes
No
Tell me more
Questions? Comments? If you’d like to learn more about The Port Tobacco River Conservancy, the S.O.A.R. initiative or our septic pump-out program, use the space below to let us know how we can help!
Submit
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