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* 1. Do you live near a beaver lodge in Bethel?

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* 2. If yes, where in Bethel is the lodge?

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* 3. Have you seen beaver activity at or near the lodge in the past year?

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* 4. If yes, please check any of the following activities you have observed?  If no, leave blank.

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* 5. Also, have you experienced any of the following problems caused by beavers near your home?  If no, leave blank.

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