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This survey is designed to gather information that will help to protect the quality of life, health, and safety of town residents. It is being conducted by the Town of Danby Gas Drilling Task Force.

By responding to it, you will help to identify the locations of unique natural areas, water wells, active or abandoned oil/gas wells, and other land resources you consider to be important. The information that you enter into this survey will be used to map these important features. It will not affect your tax assessment. We've asked for your contact information and the location of your land so that we can compile this information accurately and so that we can get in touch with you if we have questions.

The survey will take only a few minutes, and you can skip any questions that you don't want to answer or that aren't applicable to you. If you would like more information about the survey, please email <MNGresearch@gmail.com>.

Danby's Gas Drilling Task Force thanks the Town of Caroline, Tompkins County, New York for developing the questionnaire that this survey is based on.

Please make sure to click "done" when you've completed the survey so that your responses get saved! Thank you!

Question Title

* 1. Do you get your drinking or cooking/washing water from a well or spring on your property (please select all that apply)?

Yes - We get water from a drilled well.

Yes - We get water from a dug well.

Yes - We get water from a spring.

If you have a water well, about how deep is it?

Question Title

* 2. Are there any seasonal streams, small ponds, vernal pools (pools of water from spring rains that dry up in summer) on your land?

Yes

If "yes", it would be great if you could describe them or show them on a map.

Question Title

* 3. Do you use any of your land for pasture, crops, forestry or other agricultural purposes?

Yes

If "yes", please describe how you use your land (for example, 10 acres pasture, 40 acres forest, 4 acres orchard)

Question Title

* 4. Do you have any places on your property where protected plants, animals or birds live? These might include small wetlands, special ecosystems, or other micro-enviroments. (Protected plants are listed on-line at <http://www.dec.ny.gov/regs/15522.html> and the following site provides links to information about NYS mammals, birds, reptiles and amphibians <http://www.dec.ny.gov/23.html>.)

Yes

If "yes", please describe them here.

Question Title

* 5. Are there any archaeological sites or historic buildings, trails, or other cultural or recreational resources on your land?

Yes

If "yes", please describe them here.

Question Title

* 6. Are there any oil or gas wells on your property? (Abandoned wells may be identified by old steel casings, 10-12" in diameter, that stick up as much as 36" out of the ground.)

Yes - I think there are abandoned or plugged wells on my land.

Yes - There are active wells on my land.

If you answered "yes", please describe where they are located.

Question Title

* 7. Would you like to provide a map of your property showing the location of water wells, agricultural land, unique natural areas, or other features?

Yes (If you live in the Town of Danby, Tompkins County, New York, please mail the map to: "Gas Drilling Survey, Town Hall, 1830 Danby Road, Ithaca, NY 14850.)

Question Title

* 8. We're asking for your contact information and the location of your land so that we can compile this information accurately and so that we can get in touch with you if we have questions.

Your name (first and last)

Your mailing address

Your street address (if different from your mailing address)

Your email address

Your telephone number

Location of your land

Tax parcel number (optional)

Question Title

* 9. If you have any comments or suggestions, please type them here:

Please make sure to click "done" when you've completed the survey so that your responses get saved!