Lake Champlain Non-Point Source Pollution Subwatershed Assessment & Management Plan
Individual Project Identification Form
Name and Department/ Organization
Project Municipality
Project Location (Lat/Long if possible)
Jurisdiction of land where project is located
Public
Private
Is the project located on surface water?
Yes
No
If on surface water, please name the waterbody
Pollutant concern (mark all that apply):
Drinking water protection
Stormwater runoff
Nutrient loading
Wastewater/ septic systems
Harmful Algal Blooms
Invasive Species
Erosion
Winter Road Maintenance
Education and outreach
Other
Narrative Project Description:
Estimated project cost or range
Local project priority level
High
Moderate
Low
How important is the completion of this project for your municipality or organization?
What timeframe would your municipality or organization like this project to be completed?
Short (1-3 Years)
Medium (3-5 Years)
Long (6+ Years)
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