Laserfiche WebLink
Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to help us keep you current) <br />, VA <br />Name :Is o cam-/ �Q�I <br />Organization <br />Mail Address ' ` CCD <br />E -Mail �c Y'yY v\ <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />3 <br />Information on Water Conservation Planning <br />� ■ <br />5 <br />Information on Water Conservation Measures and Programs ❑ ❑ ❑ , E l {_ <br />Technical Support for Water Conservation Planning o� <br />General Planning <br />3 <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />[Z <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />[H <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />9 <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />14 <br />❑ <br />❑ <br />❑ <br />❑ <br />Te chnical Suipport for Water Conservation IM12lementat ion <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />[9 <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />E�- <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />0 <br />❑ <br />❑ <br />❑ <br />11 <br />