The purpose of this questionnaire is to help the Village of Lake Bluff identify areas with flooding problems.  Completing this questionnaire is voluntary, but know that your response will help to determine potential systemic solutions. 

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* 1. Name

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* 2. Address

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* 3. How many years have you lived at this address?

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* 4. Email Address

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* 5. Does your home have a basement?

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* 6. If you answered yes to question #5, are there any plumbing fixtures in the basement, such as a bathroom, laundry or floor drain?

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* 7. Does your home have a sump pump?

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* 8. Does your home have a sanitary sewer ejector pump?

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* 9. If someone came to your home and went to your basement, would they find sanitary sewer backup control?

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* 10. Has your house flooded in the past?

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* 11. If you answered yes to question #10, can you provide the approximate dates of flood events?

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* 12. Has your house flooded due to sewer backup?

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* 13. If you answered yes to question #12, how often do you experience sewer backup? (Ex., every year, every few years, etc.)

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* 14. Has your house flooded due to seepage or sump pump failure?

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* 15. Has your house flooded from surface water (overland flooding)?

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* 16. If you answered yes to question #15, how did the water enter the house? (window well, front door, patio door, etc.)

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* 17. If you answered yes to question #15, was the street in front of your house also flooded?

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* 18. If you answered yes to question #15, what depth (inches) of water in the street (approximate) results in flooding of your home?

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* 19. If you answered yes to question #15, how often has your house flooded from surface water (overland flooding)?

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* 20. Please upload any photographs of flooding problems that may be helpful.

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* 21. If you would like to leave any feedback on the planning process or the types of stormwater projects you would like to see the Village pursue, please provide your comments.

Thank you for completing this questionnaire.  Your input is valuable to helping us determine potential systemic solutions. 

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