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This questionnaire is part of the Murrumbateman, Bowning, Bookham and Binalong Flood
Studies, which is currently being prepared by Yass Valley Council with the financial and
technical support of the NSW Office of Environment & Heritage. Your responses to the
questionnaire will help us determine the flood issues that are important to you.

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* 1. Which Village do you live in?

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* 2. Your Details

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* 3. About Your Property, please select as appropriate

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* 4. How long have you been at this address

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* 5. What is your property?

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* 6. Has your property ever been inundated by floodwaters in the past

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* 7. If you answered yes to the question above, when did the flooding occur and which parts of your property was affected?
(Please provide a short description such as L duration of flooding, source of water, flow direction etc. Refer example below.

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* 8. If Flooding affected your property in the past, what damages occurred as a result?

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* 9. Are you aware of any other flooding problems in the study area? (See the attached map)

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* 10. Please provide dates of historic flooding, even if its only the year in which the event occured. Rank the floods from the most severe to the least severe.

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* 11. For the floods you have listed, do you have any record of the height the floodwaters reached? For example, a flood mark of a building, shed, fence, light pole etc

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* 12. If you answered yes to the question above, please provide a short description of the location of the flood mark(s), maximum depth of flooding, source and or direction of water etc

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* 13. Do you have any photos, videos or tother evidence of the flood marks that you have identified?

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* 14. If  yes, could you please provide as much detail as possible, including whether you would be willing to provide Council with electronic copies of any photos/videos? You may wish to email any flood data that you have directly to Council.

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* 15. Do you have any information on bridge or pipe blockage or the inundation of local roads due to surcharge of the existing drainage system?

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* 16. If yes, could you please identify the location? Could you also comment on the nature of the blockage and /or the duration and depth of the flooding in the local road network?

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* 17. Do you wish Council to contact you so you can provide further information? Please make sure you have provided your contact details in Question 1

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* 18. Please write any additional comments here

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