Water Questionnaire

Name of Waterbody:*
Full Name:*
Email Address:*
How did you hear about us?*
Phone Number:*
Street Address*
Zip:*
Shape of Waterbody*
Surface Acres*
Maximum Depth*
Average Depth*
Quick Questions:
Is the water used for irrigation?
- Yes
- No
If so, please describe the amount and frequency:
Does the water run through continuously?*
- Yes
- No
Which months?*
Hold control to select more than one month
Does water run through when it rains?
- Yes
- No
How much? (in gallons/minute)
Objectives for Waterbody Improvement:
Bad Odor:*
- Yes
- No
Murky Water:*
- Yes
- No
Fish Kills:
- Yes
- No
Is muck removal one of your objectives:
- Yes
- No
Weeds and Algae
What problem weeds are present?*
- Bladderwort
- Watersheild
- Water Meal
- Water Lilies
- Pond Weed
- Coontail
- Milfoil
- Other
- None
Please check all that apply
What type of algae is present?*
- Filamentous
- Blue-Green
- Green Planktonic
- Nitella
- Chara
- Other
- None
Please check all that apply
Please provide an overall assessment of the weed and/or algae problem:
Additional Information
If available, please provide a depth profile for the water body. If not, please indicate below.
Do you have a depth profile?
- Yes
- No
Please provide any additional information in the box below, and please E-mail, fax or mail the following information.
- Please send any studies, photos, or aerial photographs that have been made in the past 10 years.
- Please list any URL describing the water body.
- Sign up for our newsletter

827 Lincoln Avenue, Suite 1
West Chester, PA 19380

610-431-1959

EPA Establishment No. 93314-PA-1

Quick Questions: