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Town of Kirklin Storm Sewer Questionnaire/Survey
1.
Please provide your name (optional) and property address (required).
2.
Is this a business or residence?
Business
Residence
3.
How long have you been at this location?
< 1 year
1 - 5 years
5 - 15 years
> 15 years
4.
Do you have a basement?
Yes
No
5.
Have you ever experienced flooding in your basement?
Yes
No
5a. If answered “Yes”, was it due to a rain event, problem with the basement drain (i.e. sump pump failure), or other? Please describe, if applicable.
6.
Have you experienced flooding/standing water on your property?
Yes
No
6a. If answered “Yes”, please describe:
· the frequency these occur (i.e. how many times a year, etc.);
· the magnitude of rain event(s) (i.e. how many inches per event);
· the date(s) it occurred on if known; and
· how long it takes to drain (i.e. hours after rain event ends).
All of these responses may be inserted into the text box below.
7.
Do you know of any stormwater pipes and/or structures on your property?
Yes
No
7a. If answered “Yes”, please describe each pipe and/or structure.
8.
Have you noticed any areas in Town where flooding/standing water is a problem?
Yes
No
8a. If answered “Yes," please describe, if applicable.
9.
If you would like to further illustrate the problem area(s) for flooding on your property and any known storm pipes and/or structures, a sketch can be made on your property plans at the Kirklin Town Hall on 113 N Main St. If you have any additional comments you wish to add pertaining to stormwater, please do so below:
Thank you for your assistance. Should you have any questions, please contact Jane Schroeder at Commonwealth Engineers, Inc. at 317-296-7953 or jschroeder@contactcei.com.