POND QUESTIONNAIRE





POND QUESTIONNAIRE

FOR

CLEAN-FLO SYSTEM INSTALLATION


Community: Pond Name:
Contact: Phone: eMAIL:
Address1: Address2:
City: State: Zip:

The purpose of this questionnaire is to obtain enough information to provide an estimate for the
CLEAN-FLO system.

Since no two water bodies are the same, it is important to tailor the
CLEAN-FLO system specifically to the pond under consideration.

 
Pond Shape:        
Surface Acres: Maximum Depth: Average Depth:

WATERSHED CHARACTERISTICS:

Is this a storm water collection pond? Yes No  
Are there incoming streams? Yes No  
Does water flow through the pond? Yes No  
  When? Estimate in gal / min:
Is the pond used for irrigation? Yes No  
  If so, please describe the amount and frequency:

LAKE WATER CHEMISTRY

Have you had fish kills? Yes

No

  
Is the water murky? Yes

No

  

WEEDS AND ALGAE

What problem weeds are present?          
 

Yes

No

  

Yes

No

 

Yes

No

  

Yes

No
BLADDERWORT

WATER MEAL

POND WEED

MILFOIL

WATERSHIELD

WATER LILIES

COONTAIL

OTHER


What type of algae is present?          
 

Yes

No

  

Yes

No

 

Yes

No
FILAMENTOUS

GREEN PLANKTONIC

CHARA

BLUE-GREEN

NITELLA

OTHER

Please provide an overall assessment of the weed
and algae problem:

Type of power available:
115 Volt

230 Volt

230 or 460 volt 3-phase

Please explain what you want to accomplish by
installing the CLEAN-FLO system:

Is there anything else we should know?