QUESTIONNAIRE FOR RIVER APPLICATIONS

QUESTIONNAIRE FOR RIVER 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 with
further questions.
River
Name      

River  Location

Consulting Engineer/Governing Agency                                        

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?

DATA ON RIVER

How long is the River?

Average Width
Maximum depth 
Average depth 
What is Maximum Flow Rate?
When is flow at Maximum ? 
Average Flow Rate 
What is Minimum Flow Rate?
When is flow at Minimum flow Rate? 
How Large is the watershed
Type of watershed YES NO
Agricultural

Cities

Forested/undeveloped

Describe bottom sediment: YES NO
Sand

Black Muck

Leaves

Clay

Peat

YES NO
Does sediment smell like rotten eggs ?

How deep is sediment? FEET

Source  of water YES NO Source  of water YES NO
Streams

Agricultural

Groundwater seepage

Forested

Springs

Commercial

Cities

Lake

Run off

Storm sewers

Another River

Other
YES NO
Does sewage or other pollutants flow in?

How much?
Describe pollutant

 


YES NO
Is fertilizer used along the River ?

Describe

 

YES NO
Are pesticides used along the River ?

Describe

 

YES NO
Do sewage treatment plants discharge into the River
?


Describe

 

Describe principal uses of water, such as swimming, fishing,
boating, etc.

YES NO
Are there fish in the River?

What species?

YES NO
Were other species living in the river in the past?

What other species?

YES NO
Does the river have areas that were spawning beds in the past?

Describe?

YES NO
What  aquatic organisims live in river? (aquatic insects,
larvae, molluscs, crustaceans.)


Describe?

YES NO
Were differt aquatic organisms present in the past?

Describe?

Location of River treatment area: city?
YES NO


suburb?
YES NO


Open country?
YES NO


Agricultural?
YES NO


What management practices have been used on the River? (herbicides,
dredging, aeration, stream bank improvements, eliminating point-source pollution, etc.)

Please provide the following
water quality data for both surface and bottom of River

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 (redox)
Visibility (Secchi disk) Ft
potential (mv)
Chlorophyll a (micrograms/l)

Pollutants

PROBLEMS OF THE RIVER

What improvements of the River are desired? Please describe fully

ITEM YES NO ITEM YES NO
Is there a weed problem?

Lily Pads?

Submerged weeds?

Cattails?

Emergent weeds?

Duckweed?

At what times of year?
Please describe

ITEM YES NO ITEM YES NO
Algae?

Greens?

Blue-Greens?

Filamentous?

At what times of year?
Please describe

ITEM YES NO
Scum

At what times of year?
Please describe

ITEM YES NO
Bad Odor

At what times of year?
Please describe bad oder

ITEM YES NO
Scum on the water?

At what times of year?
Please describe scum on water

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?

ITEM YES NO
Fish Kills

How much?
When?
Describe fish kills

 
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 send us any Questions
or Comments below.


Please email, fax or mail a map of the river
showing a scale, depth profile, and locations of power availability. Please
send any studies, reports, testing data or any other available data. Thank
You.