Village of Lincolnshire Flood Damage Questionnaire

The purpose of this questionnaire is to help the Village of Lincolnshire identify areas with flooding problems. Although completing this questionnaire is voluntary, your response will help in the engineering study to determine potential solutions to the flooding problems.

Please submit additional information to Drainagestudy@lincolnshireil.gov.

Question Title

* 1. Basic Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. How long have you lived (or worked) at this address?

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* 3. How old is the building (years)

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* 4. Where does flooding primarily occur on your property?

Basement

First Floor

Backyard

Front Yard

Garage

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* 5. How many times in the last year did the street in front of your house flood?

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* 6. How long does it take for the water to go down (please specify which areas being referenced if using different time frames for different areas)

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* 7. Flooding in your home occurs from what source?

Over-bank flooding from adjacent creek or lake

Over-land flow through (basement window, doorway, first floor window)

Sanitary Sewer backup through floor drain

Seepage through basement floor and/or wall cracks

Sump reservoir backup (Sump pump failure)

Other (please specify)

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* 8. Have you tried any measures to flood proof your residents? (If so, please explain, i.e., sandbags, sump pumps, check valves, drain plug, etc.)

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* 9. Are you currently participating in the National Flood Insurance Program (i.e. do you have Flood Insurance for your home?

Yes

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* 10. How many times have you experienced flooding in your home since you moved in?

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* 11. Please describe the extent of flood damage that has occurred in your home including the date, depth of the water, duration of the flood (hours), and value of damage to your building and content.

Village of Lincolnshire Flood Damage Questionnaire

Question Title

* 1. Basic Information

Question Title

* 2. How long have you lived (or worked) at this address?

Question Title

* 3. How old is the building (years)

Question Title

* 4. Where does flooding primarily occur on your property?

Question Title

* 5. How many times in the last year did the street in front of your house flood?

Question Title

* 6. How long does it take for the water to go down (please specify which areas being referenced if using different time frames for different areas)

Question Title

* 7. Flooding in your home occurs from what source?

Question Title

* 8. Have you tried any measures to flood proof your residents? (If so, please explain, i.e., sandbags, sump pumps, check valves, drain plug, etc.)

Question Title

* 9. Are you currently participating in the National Flood Insurance Program (i.e. do you have Flood Insurance for your home?

Question Title

* 10. How many times have you experienced flooding in your home since you moved in?

Question Title

* 11. Please describe the extent of flood damage that has occurred in your home including the date, depth of the water, duration of the flood (hours), and value of damage to your building and content.

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* 12. For additional comments, notes or photos, please email drainagestudy@lincolnshireil.gov