Name:

Street Address:

City:

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Zip:

Are you willing to have people contact you via e-mail re: your lake or pond?
Yes No

Email:

Phone Number:

Size of your lake or pond in surface acres

Name of the Lake or Pond Association to which you belong:

OR: Name of Lake or Pond Association concerned with your lake or pond:

Is the Association Private?

Yes No

Nature of the Problems in your lake or pond: Select all that apply

Weeds: Myriophyllum Fanwort Water Chestnuts Water Lilies Other

Algae:

Odor:

Silt/Muck

Color or Opacity:

Bacterial Pollution:

Watershed Runoff:

High Nutrient Count, (e.g. Phosphorous, Nitrogen):

Do you have a Lake Management Plan? Yes No

Do you have a Watershed Management Plan? Yes No

Do you have a professional organization working with you? (e.g. Professional harvester or hydroraker, licensed herbicide applicator, consultant, etc.) Yes No

We will add this information to our database. Please tell us if we may share this information with other visitors to this website: Yes No