Northland NEMO Low Impact Development Atlas Survey

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* 1. Name of Location/Business where the practice is located (examples: Johnson Residence, Big Top Bakery, South Side Office Park, etc.)

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* 2. Stormwater practice location. We will use this to find it on the map; if an address is unavailable, please enter the Lat and Long:

Address:

City:

State:

Zip Code:

(optional) Latitude:

(optional) Longitude:

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* 3. When was this practice constructed?

Month:

Year:

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* 4. Contact information (note: this information will not be posted online, however we may use it to obtain additional details, or share it with individuals who are looking for more specific information about this project.)

Contact person for more information about this project:

E mail Address:

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* 5. Please select one or more of the options below for the type of practice(s) installed:

Bioswale

Bioretention/Rain Garden

Cistern/Rain Barrel

Stormwater Wetland

Green Roof

Permeable Pavement

Water Conservation

Other (please specify)

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* 6. Please select the land use type that best represents where practice is located:

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* 7. Please enter a brief description of this practice, and anything that makes it unique or especially interesting:

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* 8. Please enter the website address of photos of this practice; at least one is required. If you cannot make a photo available online, contact Jesse at jschombe@umn.edu

Link to photo #1:

Link to photo #2

Link to photo #3

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* 9. Optional Details:

Website for more information about this project:

Who was it designed by? (Name and/or company):

Who was it installed by? (Name and/or company):

Size of practice (e.g. 250 sq ft)

Area treated (e.g. 1,500 sq ft)

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* 10. Function, Cost-Effectivenes, and Satisfaction
Please rank the stormwater practice(s) described above for the follow criteria, as best you are able. Please add any comments to further explain your responses, if needed.

	Poor/Very Dissatisfied	Fair/Somewhat Dissatisfied	Good/Somewhat Satisfied	Excellent/Very Satisfied
How is the practice working?	How is the practice working? Poor/Very Dissatisfied	How is the practice working? Fair/Somewhat Dissatisfied	How is the practice working? Good/Somewhat Satisfied	How is the practice working? Excellent/Very Satisfied
How would you rate the cost effectiveness of this practice?	How would you rate the cost effectiveness of this practice? Poor/Very Dissatisfied	How would you rate the cost effectiveness of this practice? Fair/Somewhat Dissatisfied	How would you rate the cost effectiveness of this practice? Good/Somewhat Satisfied	How would you rate the cost effectiveness of this practice? Excellent/Very Satisfied
How satisfied are you with the practice overall?	How satisfied are you with the practice overall? Poor/Very Dissatisfied	How satisfied are you with the practice overall? Fair/Somewhat Dissatisfied	How satisfied are you with the practice overall? Good/Somewhat Satisfied	How satisfied are you with the practice overall? Excellent/Very Satisfied

Comments:

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* 11. By entering my name and E mail address below, I hereby certify that the photos linked above are not copyrighted or otherwise protected, and are freely available for the University of Minnesota to use for not-for-profit educational purposes, and that all the information that I have entered is true and correct, to the best of my knowledge.

Name:

E mail:

Question Title

* 1. Name of Location/Business where the practice is located (examples: Johnson Residence, Big Top Bakery, South Side Office Park, etc.)

Question Title

* 2. Stormwater practice location. We will use this to find it on the map; if an address is unavailable, please enter the Lat and Long:

Question Title

* 3. When was this practice constructed?

Question Title

* 4. Contact information (note: this information will not be posted online, however we may use it to obtain additional details, or share it with individuals who are looking for more specific information about this project.)

Question Title

* 5. Please select one or more of the options below for the type of practice(s) installed:

Question Title

* 6. Please select the land use type that best represents where practice is located:

Question Title

* 7. Please enter a brief description of this practice, and anything that makes it unique or especially interesting:

Question Title

* 8. Please enter the website address of photos of this practice; at least one is required. If you cannot make a photo available online, contact Jesse at jschombe@umn.edu

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* 9. Optional Details:

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* 10. Function, Cost-Effectivenes, and SatisfactionPlease rank the stormwater practice(s) described above for the follow criteria, as best you are able. Please add any comments to further explain your responses, if needed.

Question Title

* 10. Function, Cost-Effectivenes, and Satisfaction
Please rank the stormwater practice(s) described above for the follow criteria, as best you are able. Please add any comments to further explain your responses, if needed.