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* 1. Contact Information: Name, address and best contact information (This information will be kept private and confidential; no specific contact information will be made public through the flood study process)

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* 2. Which of the following best describes your property?

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* 3. What is the status of the property?

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* 4. How long have you lived, owned or operated a business at this address?

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* 5. Have you ever experienced flooding within or outside your property?

Flood Event 1

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* 6. Date/s of flooding, if known? (Date, month, year)

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* 7. What areas were affected by flooding (select more than one if appropriate)

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* 8. What was the depth of flooding, as best could it be described?

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* 9. What was the speed of the flood waters at the peak/worst of the flooding?

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* 10. What was the duration of the flood event (hours/days)?

Flood Event 2

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* 11. Date/s of flooding, if known? (Date, month, year)

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* 12. What areas were affected by flooding (select more than one if appropriate)

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* 13. What was the depth of flooding, as best could it be described?

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* 14. What was the speed of the flood waters at the peak/worst of the flooding?

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* 15. What was the duration of the flood event (hours/days)?

End of Specific Event questions

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* 16. What was the source of the floodwaters?

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* 17. Are there any flood marks on or near your property? (i.e. marks the mud left on the side of a building when the floodwaters went down)

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* 18. Do you have or know of any photographs or records of these flood events?

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* 19. Did you notice any culverts, drains and/or stormwater inlets that were blocked during the flooding?

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* 20. Would you like us to meet you in person to discuss your flooding experiences?

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* 21. Can we contact you to obtain additional information and/or clarify any of your responses?

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* 22. Do you have any suggestions for resolving the flooding or drainage problems in your area or do you have any comments you wish to make in addition to the questions in the Survey?

For general information relating to the study, please contact:

Matthew Buchanan

Senior Engineer at BMT

Email: matthew.buchanan@apac.bmt.org

Phone: (07) 3026 0930

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