Drainage System Survey

Gather resident feedback on how well storm drainage is performing on their property to identify flooding or erosion problem areas.

Use this template

Your Name

First Name

Last Name

Phone Number

Email

Property Address

Street Address

City

State / Province

ZIP / Postal Code

Are you a tenant or a landlord?

Tenant Landlord

How long have you been living on this property?

Has storm drainage work been done on your property?

Yes No

Provide more detail about the work performed

Provide more information about the drainage on your property

Are there any soil erosion problems from a stream or storm drainage system on your property?

Yes No

Specify the soil erosion problems, including location and severity

Select all that apply if there is any storm drainage system problem

Clogged drain Standing water Damaged pipe Overflow

Anything else you'd like to add?

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