Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Metzger Pipeline East Construction Access Questionnaire Construction of the Willamette Water Supply System—a new seismically resilient drinking water supply for the Tualatin Valley Water District, City of Beaverton, and City of Hillsboro—is scheduled to begin near you as early as the first quarter of 2021. Construction of this new system provides jobs today and will strengthen drinking water resiliency for the region. The construction will impact the road in front of your home or business. Please help us by completing this questionnaire. Your input will help us better understand your access, deliveries and travel patterns so we can best plan for upcoming construction and reduce construction inconveniences on neighbors and the travelling public. Thank you! OK Question Title * 1. Date: OK Question Title * 2. Please indicate if you are an: Homeowner Businessowner Renter Other (please specify) OK Question Title * 3. Contact Information: Primary contact: Address: City: State: Zip code: Email address: Phone number: OK Question Title * 4. Business Information: Business name: Type of business: After hours contact and phone: Hours of operation: Peak hours/shift changes: Number of trips in and out per day: Largest vehicle type and approximate length and maximum weight: OK Question Title * 5. Access needs during off hours, such as nights or weekends: OK Question Title * 6. Any special needs (such as events, unusual deliveries, or any other important note) OK Question Title * 7. Does your home or business have sensitivity to dust, noise, vibration or night work? If so, please offer details. OK Question Title * 8. If you use public transportation, please note which bus stop or offer additional information. OK Question Title * 9. (If applicable) What school and district do children in your home attend? OK Question Title * 10. (If applicable) Do your children walk to school or use the school bus? Please provide the bus number and stop location (nearest street address.) OK Question Title * 11. If you only have one access point in and out of your property, or have special circumstances, please contact David Marciniak for additional assistance. OK Contact David Marciniak if you have questions: 503-941-4579 or firstname.lastname@example.org OK THANK YOU FOR TAKING OUR SURVEY!