• RiverWise Watershed Protection Pre-Assessment Questionnaire & Registration Form

    Please complete this questionnaire to Sign Up for a RiverWise Watershed Protection Assessment. Questions are related in some way to watershed protection and water quality. This information will help us determine how you can best reduce your impact on your watershed. By submitting this form you are agreeing to have a RiverWise Assessor contact you to schedule an assessment, visit your property during the scheduled assessment, and take pictures of your yard and downspouts to complete the assessment.
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  • Preferred Method of Contact:
  • Are you the property owner?
  • How did you hear about this program?

  • Please choose the answer that most closely describes your practices. You are welcome to provide additional comments or explanations. 

  • If you have a basement, is there flooding during a heavy rain?
  • If yes, do you use a sump pump?
  • Is there an oil tank on your property?
  • If yes, is the oil tank in use?
  • Do you use a lawn service for lawn care?
  • During the late spring when the grass grows most quickly, the lawn is usually mowed:
  • Mower blades are at the:
  • Grass clippings are:

  • Watering

  • Rows

  • FERTILIZERS, HERBICIDES, PESTICIDES, and FUNGICIDES

  • Rows
  • Rows
  • Do you (or your lawn service) take into account the weather forecast for rain in deciding when to apply fertilizers, pesticides or herbicides?
  • Autumn leaves are:
  • Washing the car:
  • Changing the car's oil:

  • Purchasing Habits

  • When purchasing household cleaners and chemicals:
  • What is important to you when purchasing trees, shrubs, or flowers?
  • Disposing of household cleaners, chemicals, paint, etc.

  • Dog Feces

  • If you have a dog, how do you clean up their feces....on walks?
  • If you have a dog, how do you clean up their feces....in your yard?
  • What environmental issue do you consider the most important locally?
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  • Which practice(s) are you interested in for your property?
  • Are you interested in volunteering in any of the following activities/events?

  • Please be sure to click the SUBMIT BUTTON.

  • An Alliance Team Member will be contacting you to to set up a date and time soon.     Thank you!

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