QUESTIONNAIRE FOR LAKE APPLICATIONS









QUESTIONNAIRE FOR LAKE APPLICATIONS

For CLEAN-FLO
International to properly evaluate your project and do the best job possible
in improving it, we need answers to the following questions.  
Please answer them as completely as possible.  If the information is
not immediately available please, answer as many as possible and a CLEAN-FLO representative will evaluate the information and contact you.

Lake Name

  		Lake Location
  		Postal Code
 
Type
of lake: Recreational, park lake, neighborhood lake, storm water
reservoir, private lake, natural lake, drinking water lake, dammed lake, 
or other


Type of usage: Motor boating, water skiing,
fishing, ice fishing, canoes, jet skiing

Distance to nearest town in (Miles
or Kilometers
)

Directions from town:

How heavy is the lake traffic? Weekdays

Weekends
and holidays

Lake Owner/Operator/Manager                                         

Company Name 
Street Address   
City 

 State 

 Zip 
County/Parish 
 Country 
Contact Name 

 Position 
Phone No  

 Fax No  
 email 
Who would pay for improvement or restoration?:

Other organizations involved in
decision-making:



Approximate number of homeowners

or businesses

around the lake.		  
Describe principal uses of water, such as swimming, fishing,
boating, etc.
   
           
Source  of water YES NO      

 

          

Streams

Percent of Inflow

 

Rivers

Percent of Inflow

 

Agricultural

      
Groundwater seepage      
Mountains

 

    

Springs

 Percent of inflow:  

 

Wells

 Flow rate  (cubic feet per day)

 
Run off
 
Annual inches of rainfall

 
Forested



     
Commercial



     
Another lake



     
Storm Sewers



How many miles of storm sewers?

 
           


YES NO
Does sewage or other pollutants flow in?



How much?
Describe pollutant

   
Outflow in cubic feet per day

YES NO
Is this a golf course lake?
YES NO
Is it used for irrigation?
If so, how much water is pumped/day?

  Gallons
/ day


YES NO
Is fertilizer used around lake shore?
YES NO
Is this a storm water collection pond?


Describe Collection
YES NO
Does water run through continuously?
Does water run through only when it rains?
How much?
Gallons
/ minute
Which months?


 

DATA ON LAKE    – For the following data fields
use single numbers only; for example 126. Ranges, for example 120-130 are not
excepted.

How big is the lake?

Average length (ft)

Average
width (ft)

Elevation above sea level (feet)


Maximum depth                         

Feet		 Average depth                                         

Feet		 Mid lake  depth 

Feet		 How many acres is the watershed 


YES NO
Are there fish in the lake?
What species?


Location of lake: city?
YES NO
suburb?
YES NO
Open country?
YES NO
Agricultural?
YES NO


What management practices have been used on the lake? (herbicides,
dredging, aeration, etc.

 

Please provide the following
water quality data for both surface and bottom of lake or pond:


ITEM SURFACE BOTTOM ITEM SURFACE BOTTOM
Dissolved oxygen (mg/l) Summer water temp. F
B.O.D. (mg/l) Carbon dioxide (mg/l)
C.O.D. (mg/l) pH
Hydrogen sulfide (mg/l) Fecal coliform bacteria

(colonies/100 ml)
Ammonia nitrogen (mg/l) Total hardness (mg/l)
Total Kjeldahl Nitrogen (mg/l) Calcium hardness (mg/l)
Nitrate nitrogen (mg/l) Total alkalinity (mg/l)
Nitrite nitrogen (mg/l) Phenolphthalein alkalinity (mg/l)
Total phosphorus (mg/l) Iron (mg/l)
Ortho phosphorus (mg/l) Manganese (mg/l)


ITEM VALUE ITEM VALUE
Oxidation Reduction
Potential (redox)		 Visibility (Secchi disk) Ft
potential (mV)
Chlorophyll a (micrograms/l)

PROBLEMS OF THE
LAKE


What improvements of the lake are desired? Please describe fully,
including contaminants and levels of contaminants in mg/l, if known.


ITEM YES NO ITEM YES NO
Is there a weed problem? Lily Pads?
Submerged weeds?

Species, if known

 Cattails?
Emergent weeds?

Species, if known

 Duckweed?


At what times of year?
Please describe weed conditions:


ITEM YES NO ITEM YES NO
Algae?

Species, if known

Greens?
Blue-Greens?

Species, if known

Filamentous?


At what times of year?
Please describe algae conditions:


ITEM YES NO
Scum
At what times of year?
Please describe


ITEM YES NO
Bad Odor
At what times of year?
Please describe bad odor


ITEM YES NO
Is the water murky?
At what times of year?
Please describe the murky water
How far down into the water can you see? (Feet)


ITEM YES NO
Fish Kills
How much?
When?
Describe fish kills


Is muck removal one of your objectives ?
YES NO
Describe muck removal


Describe bottom sediment: YES NO
Sand
Black Muck
Leaves
Clay
Peat
YES NO
Does sediment smell like rotten eggs ?
How deep is sediment near shore?
FEET
How deep is sediment in deep water areas?
FEET

  

Project Status:


Preliminary Engineering/Design
YES NO
Budgetary Purposes
YES NO
Other Status

Project Timing


Bid date if applicable When will aeration equipment be required on site ?

  

Approximate Budget:


Has funding been
appropriated for this project?
YES NO
If yes, specify.

  

Electrical Service Available:


Volts Phase Hertz Available power (amperes)

Please forward all data and
reports available. THANK YOU!

Please send us any Questions
or Comments below.

Please E-mail, fax or mail a map of the lake
showing a scale, depths and where power is available for compressor cabinets
on shore. Please send any studies, photos, or aerial photographs
that have been made in the past twenty years. List any URL
describing the lake: