Environmental Facility Certification Survey - Sports Field Manager

Report Card - Part I

Fill in the requested information. This portion of the assessment captures information specific to your facility. Please be as detailed as necessary to provide a solid overview of your facility and any environmental challenges you manage. STMA will provide your answers back to you in a PDF within two weeks with instructions on engaging your attester.

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* 1. General Facility & Resource Information

Sports Turf Manager Name:

Complex/Facility Name:

Email Address:

Phone Number:

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* 2. What type of facility are you applying for?

	Yes	No
Are you applying for a Complex? (Sports fields that are contained by fencing or a perimeter boundary, with the fields contained within that space)	Are you applying for a Complex? (Sports fields that are contained by fencing or a perimeter boundary, with the fields contained within that space) Yes	Are you applying for a Complex? (Sports fields that are contained by fencing or a perimeter boundary, with the fields contained within that space) No
Or, are you applying for a single field certification?	Or, are you applying for a single field certification? Yes	Or, are you applying for a single field certification? No

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* 3. Where is the facility/field located?

Street address:

City:

State:

Zip:

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* 4. Is this (select one):

Urban

Suburban

Rural

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* 5. What is the original construction date of the facility/field? (Year)

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* 6. Provide a brief history and description of the site. Include information about any major renovations or major changes over the years.

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* 7. Complex and/or field acreage information:

What is the total acreage of your complex and/or field?

What is the acreage actively managed?

How many acres are sports fields?

How many acres are passively managed, i.e. native areas, low traffic?

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* 8. Do you manage any trails?

Yes

If yes, how many miles of trails?

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* 9. How many HOURS per YEAR are your fields in use for its primary activities?

HOURS per YEAR

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* 10. What are those primary activities?

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* 11. What other activities/events are the fields used for, i.e. graduation, concerts?

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* 12. How many HOURS per YEAR are the fields used for these activities?

HOURS per YEAR:

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* 13. Describe any environmental factors, such as streams, ponds, rivers, wildlife habitats, endangered species, that you need to be attentive to in managing your fields.

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* 14. Do you have any state or local mandates on fertilizer, pesticides, herbicides, noise, lighting, etc.

Yes

If yes, please describe

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* 15. Are there any local environmental groups that affect your work on your fields?

Yes

If yes, please describe

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* 16. List your application rates for ATHLETIC FIELDS PER YEAR:

Nitrogen:

Phosphorus:

Potassium:

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* 17. List your application rates for OTHER areas within the perimeter PER YEAR:

Nitrogen:

Phosphorus:

Potassium:

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* 18. If you have restrictions on the application of any of the above, please note:

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* 19. List your application rates for pesticides PER YEAR:

Insecticides:

Herbicides:

Fungicides:

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* 20. Tell us about your management resources.
Would you consider your facility to be:

	Yes	No
Managed with a limited staff?	Managed with a limited staff? Yes	Managed with a limited staff? No
Supported by upper management?	Supported by upper management? Yes	Supported by upper management? No
Confined by limited space or topography?	Confined by limited space or topography? Yes	Confined by limited space or topography? No
Low budget?	Low budget? Yes	Low budget? No

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* 21. Please provide your attester’s information:

Name:

Organization:

City:

State:

Email Address:

Phone Number:

Question Title

* 1. General Facility & Resource Information

Question Title

* 2. What type of facility are you applying for?

Question Title

* 3. Where is the facility/field located?

Question Title

* 4. Is this (select one):

Question Title

* 5. What is the original construction date of the facility/field? (Year)

Question Title

* 6. Provide a brief history and description of the site. Include information about any major renovations or major changes over the years.

Question Title

* 7. Complex and/or field acreage information:

Question Title

* 8. Do you manage any trails?

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* 9. How many HOURS per YEAR are your fields in use for its primary activities?

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* 10. What are those primary activities?

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* 11. What other activities/events are the fields used for, i.e. graduation, concerts?

Question Title

* 12. How many HOURS per YEAR are the fields used for these activities?

Question Title

* 13. Describe any environmental factors, such as streams, ponds, rivers, wildlife habitats, endangered species, that you need to be attentive to in managing your fields.

Question Title

* 14. Do you have any state or local mandates on fertilizer, pesticides, herbicides, noise, lighting, etc.

Question Title

* 15. Are there any local environmental groups that affect your work on your fields?

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* 16. List your application rates for ATHLETIC FIELDS PER YEAR:

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* 17. List your application rates for OTHER areas within the perimeter PER YEAR:

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* 18. If you have restrictions on the application of any of the above, please note:

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* 19. List your application rates for pesticides PER YEAR:

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* 20. Tell us about your management resources. Would you consider your facility to be:

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* 21. Please provide your attester’s information:

* 20. Tell us about your management resources.
Would you consider your facility to be: