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Stormwater Questionaire
Leave This Blank:
WHAT DO YOU KNOW ABOUT STORM WATER?
1. What is stormwater
*
Polluted water in any form, such as acid rain
Water that is inside our stormwater drains
Water runoff from rain or snow that flows on the ground
Any precipitation in any form or location
2. Does stormwater go through a cleaning process before reaching our drainage ditch and/or river?
*
Yes
No
I don't know
3. In cities, which of these causes more pollution to surrounding and downstream bodies of water?
*
Industrial polluted waste (Factories and business)
Urban polluted runoff (stormwater that flows across paved surfaces and into storm drains)
I don't know
4. Who can you contact if a storm drain near your home is littered or plugged?
*
Stormwater Hotline
Public Works/Street Department
I don't know
5. What liquids or solids are safe to dispose of into the gutter or a storm drain? (check all that apply)
*
Rainwater
Oil
Soapy Water
Leaves/Grass
Litter
Antifreeze
None of the above
I don't know
Contact Information (optional)
Name & Address
WHAT DO YOU THINK ABOUT STORMWATER POLLUTION?
6. Would you consider adapting some of your daily activities to improve water quality if you learned of alternatives?
*
Yes
No
I don't know
7. Would you like to learn more about the City's current stormwater regulations?
*
Yes
No
I don't know
8. If so, what type of outreach would you find beneficial?
*
Informational Mailings
Public information meetings
Information posted on the City website
Great Bend's local cable channel 20
Other
9. Which of the following pollutant sources do you feel have an impact on water quality in our city? (check all that apply)
*
Fluid leaks and/or runoff from washing cars
Pet/Animal waste
Pesticides, Herbicides and fertilizers
Yard waste disposed of in gutters and ditches
Erosion from disturbed and cultivated sites
Run off from developed sites during and after construction
Other
10. Comments?
Email:
Phone number:
Stormwater Hotline 62-791-5008
* indicates required fields.
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