Project Assessment Survey 
Fields in Red are required
Enter Your Contact Information
First Name
Last Name
Title
Agency/Company
Phone
Email
Address 1
Address 2
City
State
Zip


 
1.Please provide a brief description of your management needs and you may also attach supporting documents.
Optionally Upload a PDF of Your Requirements:
2.Do you have an estimated time frame to implement your program?
3Please select the type of program(s) you are interested in managing.
3a.System Identification(s) Inventory
 Registration
 Locating
 Mapping

Other:
3b.Select the type of septic system(s) you are interested in managing. Conventional
 Innovative/Alternative Technologies
 Step System
 Holding Tanks
 Cesspools
 Residential
 Commercial

Other:
3c.Septic system waste disposal tracking Yes     No
3d.Fats, Oils & Grease (FOG) permit, service, and compliance tracking management Yes     No
3e.Well permit, service, and compliance tracking management

Other:
4.Data Migration: How many databases will you need to migrate to the management program?
5.Would you like to regularly update your septic management database with your property tax records? Yes     No
6.Do you currently have septic system management rules and regulations in place? If yes, please give a brief description. Yes     No

Description:
7.Are you interested in any of full service options provided by Carmody?
Mailing Services Send enforcement notices
 Send notices (postcards, letters, etc.…)
 Billing
 Invoicing

Other:
Online Payment Services Usage fees
 Fines
 Online invoice payment

Other:
Additional Services:
8.Enter the total number of systems you would like to manage.
9.Select the Database password assess levels you would like.
(Check all that apply)

The Carmody program has several password access levels. Carmody can set up password levels from State to Towns and everything in-between.

Our clients can choose the access level each password has to the database, administration, administration support, overview, report filing, assigned property view only, territory view only.
 State
 District
 Community Service District
 County
 City
 Town
 Contractors
 Property Owners
 Public Access

Other:
10.I would like the service reports to be filed by:
(Check all that apply)
 In-house staff only
 Approved contractors
 Smart phone and tablet signature capabilities

Other:
11.We offer several payment options for customer and tech support. Please select the option that you would prefer. Month to Month
 1-year Contract
 3-year Contract
 5-year Contract
 Pay Per Report Filed
 Per System
 User Fees

Other:
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