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.

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* 1. Basic Information

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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?

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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?

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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?

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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.

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

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