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Stream Smart Survey

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Watershed Region *
- Select One -Darby CreekPennypackTookany/Tacony-FrankfordWissahickonNot Sure

First Name *

Last Name *

Address *

City *

State *
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Municipality*

Phone *

Your Email *

Check all that apply to you: *
Flooding problemsLarge lawnAdjacent to stream/creekAt bottom of slopeAt top of slopeConcerned about stormwater

Preferred audit times (Check all that apply): *
Tuesday 8 am - 6 pmThursday 5 pm - 8 pmSaturday

How did you hear about the program? *
- Select One -Web searchNewspaperNewsletterMailingPartner siteMunicipal MeetingOther