Stormwater Mapping, Modeling & Analysis for Black Bayou Basin

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* 1. What is your name?

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* 2. What is your e-mail address?

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* 3. What is your business name (if applicable)?

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* 4. What is your street address and zip code?

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* 5. What is your phone number?

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* 6. What is this structure (home, business, other), and what type of construction is it (frame, brick, concrete blocks, metal building etc.)?

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* 7. How many years have you been at this address?

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* 8. What flooding problems have you experienced at or around your property?

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* 9. Please describe any property damage (basement, cars, furniture, etc.) you have experienced at this address.

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* 10. Do you have any documentation (photo, video, water marks) of flooding at this address you would be willing to share? If so , please describe.

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* 11. When your property is impacted by flooding, is the water moving or standing still? Does it disappear quickly or linger?

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* 12. Would you be interested and willing to discuss your experiences further? What is the best time and method to contact you?

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* 13. Additional comments?

For additional information or to submit form via mail, please contact:
Joe Lawson • Project Manager
Barge Waggoner Sumner & Cannon, Inc.
(901) 755-7166
Joe.Lawson@bwsc.net

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