Name (required):

Address and County of District:

Contact Person (required):

Title:

Phone (required):

Fax:

Email (required):

Length of canal (miles):

Main:

Lateral:

Surface Acreage of Water

Is your canal:Concrete-linedUnlined earthPiped

Water Source(s):

Water Clarity:

Is it in 100-year flood plain? YesNo

Aquatic Weeds present (species if known):

Algae present (species if known):

Do you have dry up? YesNo

When?

If you do dry up, where does the water go?

What is your annual chemical budget for water treatment?

Briefly describe annual dredging and maintenance on the canal system:

Do you have problems with pests?

BirdsSnailsMolluscsInsects

Other important considerations:

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