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Erosion Reporting Form

2. Please complete this form to provide information to the Watershed Erosion Task Force regarding any erosion issues associated with your property.
   Please note, this group is in the data gathering phase and will use the information provided by respondents to determine potential solutions and seek out funding sources.
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. Zip Code*
12. Ward
14. Phone Number
15. Email Address*
17. What major creek(s) do you live by, i.e. - August Tavern, Bonhomme, Caulks, Forby, Fox, Hamilton-Carr, and Wild Horse?*
19. Can a small group of members from the Watershed Erosion Task Force visit your property, or access the creek from your property, to evaluate the identified erosion issues?*

    1. Yes
    2. No
21. Would you be willing to take photographs of the creek on/near your property every 6 months and submit them to the City?*

    1. Yes
    2. No
23. Would you be willing to volunteer a few hours to help the task force identify erosion problems in your area?*

    1. Yes
    2. No
25. Would you like to learn more about erosion and ways you can help reduce erosion on your property and in your neighborhood?*

    1. Yes
    2. No
27. If you responded yes to learning about ways to reduce erosion, please provide your email address below. Staff will enter your email in a Subscriber List for a Watershed Erosion E-Newsletter. Once your email is added, you'll need to verify the subscription to receive future communications upon this matter.
29. Use the box below to provide details on specific erosion issues on your property. Photographs of the area may be uploaded via the link below the comment box:
31. Upload up to 6 photos of erosion issues on your property.
    If you have additional photos to share with the Task Force, please email them to travis@cityofwildwood.com
33. Upload Photo #1
34. Upload Photo #2
36. Upload Photo #3
37. Upload Photo #4
39. Upload Photo #5
40. Upload Photo #6
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field