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2. First Name
3. Last Name
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Telephone:
15. Email:
17. Faxon Creek Location:
    Once you register, we'll discuss a stream monitoring location on Faxon Creek for you.
19. Are you volunteering on your own behalf?
21. Be safe, not sorry!
    1. Always tell someone where you are going and when you plan to return.
23. 2. If possible, take a friend with you in the field.
25. 3. Use EXTREME caution when wading or entering the stream—deep holes are common in fast-moving streams and rivers; rocks can also be very slippery.
27. 4. If a streambank is too steep, find another route to get to your site. Take it slow.
29. 5. Consider wearing a Personal Flotation Device (life preserver) at sites with deeper water.
31. 6. Know what poison ivy and wild parsnip look like – they are poisonous.
33. 7. Wear goggles or rubber gloves when recommended on fact sheets. Wash your hands after you return from the field; do not touch your face until you do!
35. 8. For more resources on how to monitor stream check out: wateractionvolunteers.org/resources/video-library/
37. Pre-Monitoring Survey
    One of our goals of this program is to help us understand what you (volunteers) know about our watersheds and water quality. Please take the survey to help us know more about you! This data is used internally to assess how well the program meets educational objectives and reaches a broad audience. The information submitted is kept anonymous. Thank you for helping us measure successes and find areas for improvement!
39. 1. How many streams flow through the City of Superior?
    -- Select One --0 - 23 - 56 - 910 or more
40. 2. What is the nearest waterbody (lake, stream, or creek) to your home?
42. 3. On average, how many times each month would you say you see, experience, or interact with that waterbody (walk or recreate near, fish, swim, enjoy the view, etc.)?
    -- Select One --NoneOccasionally (1 - 3 times)Frequently (4 or more times)Daily
44. 4. Do you think activities on your property (car washing, mowing, construction, winter salt application, planting trees, etc.) affect that waterbody?
    -- Select One --NoMaybe - some do and some don'tYesI don't know
46. If you answered yes, please specify which activities affect water:
48. 5. Do you think that waterbody is clean? (fishable, swimmable, safe for contact)
    -- Select One --NoYesI don't know
49. 6. What do you think is the biggest reason water in Superior streams and lakes would not be clean (fishable, swimmable, safe for contact)?
    -- Select One --Boating/boatersDischarge from wastewater treatment facilitiesHistorical pollutionPet or animal wasteStormwater runoff (rain and snowmelt)
51. 7. Is stormwater (rain and snowmelt) in Superior
    -- Select One --Treated/cleaned at the wastewater treatment plant?Routed to the nearest stream or lake without treatment?NeitherI don't know
53. 8. Do you know what “Green Infrastructure” is?
    If yes, please provide an example.
55. 9. Do you know of any Green Infrastructure in Superior?
    If yes, please provide an example.
57. 10. Should Green Infrastructure be utilized more often in the City?
    Please explain your answer.
59. 11. Have you ever attended a City of Superior public meeting in the last 5 years?
    If you have, which meeting did you attend?
61. 12. Do you know what Illicit Discharge Detection and Elimination (IDDE) is and what to do if you see it?
63. 13. How did you hear about this program?
    -- Select One --TelevisionNewspaperCity Stormwater NewsletterPoster at public venueCity of Superior WebsiteFacebookEmailWord of mouthLake Superior Reserve E - NewsletterOther
64. Race
    -- Select One --American Indian/Alaskan NativeAsianBlack/African AmericanNative Hawaiian/Other Pacific IslanderWhiteTwo or more racesOther Race
66. Signature
67. Date
69. Guardian Signature
    (If the participant is a minor)
70. Date
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72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit

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