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Recycled Water Interest Survey
Please note that all fields are optional.
1.
Please select the option that best describes your organization.
Commercial / Industrial
Agricultural
Government / Institutional (school, park, public facility, etc.)
Residential (HOA, multi-family, or similar)
Other (please specify)
2.
Are you interested in potentially receiving recycled water for approved non-potable uses if it becomes available?
Yes
No
Unsure / Need more information
3.
If recycled water were available, approximately how much water could you use?
More than 100,000 gallons per month
50,000 to 100,000 gallons per month
25,000 to 50,000 gallons per month
Less than 25,000 gallons per month
Unsure at this time
4.
For what purposes would you use recycled water? Select all that apply.
Landscape irrigation (parks, medians, landscaping)
Agricultural irrigation
Industrial or process water
Fire prevention
Other (please specify)
5.
During which months would you expect to use recycled water? Select all that apply.
January
February
March
April
May
June
July
August
September
October
November
December
6.
Is your property located:
Within Cloverdale city limits
Outside city limits but nearby
Not sure
7.
Name of Organization/Business
8.
Address/General Location
9.
Do you have any questions, concerns, or conditions that would influence your interest in using recycled water?
10.
Would you like to be notified about the City’s recycled water project in the future?
Yes
No
