Rain Garden Assistance Application

    Thank you for showing interest in creating a rain garden in your community.  In order             for the Rutgers Cooperative Extension Water Resources Program to gain a
    better 
understanding of your site and your plans to educate your surrounding community
    about stormwater management, please fill
in the answers to the following questions to
    the best of your knowledge.  You will be hearing from a Rutgers Cooperative Extension
    Water Resources Program Associate shortly to let you know the
status of your application
    for assitance
with your potential rain garden site.  


Springfield Township Municipal Annex Building Rain Garden, Union County, New Jersey

Missing fields.  Please complete to the best of your knowledge.

    Part I. Contact Information

    Please fill out the following information regarding yourself and your organization, if
    applicable.


    First Name:

    Last Name:

    Name of Organization:

    Phone Number:

    Fax Number:

    Cell Phone Number:
    (If same as Phone Number above, please leave blank)

    E-mail Address:

    II. Potential Rain Garden Site Information

    Please fill out the following information regarding the potential rain garden site.

    Address:

    City:

    State:

    Zip Code:

    County:

    Two Photographs of the Potential Site of the Rain Garden:
    (File size limit 2 MB.  If your upload does not work, try a smaller picture.)
    Remove Photograph

    Soil Texture:
<<MIKE, HAVE A PULL DOWN MENU WITH THE FOLLOWING LIST:>>
    Sandy
    Loamy
    Silty
    Clayey
    (In order to determine the site's soil texture, please refer to Cornell University's Soil
    Texture Fact Sheet.)


    How many rain gardens do you plan to install at this site?:
    (If you or your organization plan to install a rain garden at another site, you will need to fill
    out another  Rain Garden Survey.)


------------
<<MIKE, IF THE ANSWER TO THE PREVIOUS QUESTION IS 2, THE FOLLOWING ADDITIONAL FIELDS APPEAR>>

    Two Rain Gardens at the Same Site

    Please fill out the following information regarding the additional potential rain garden sites.

    Address:

    City:

    State:

    Zip Code:

    County:

    Two Photographs of the Potential Site of the Rain Garden:
    (File size limit 2 MB.  If your upload does not work, try a smaller picture.)
    Remove Photograph

    Soil Texture:
<<MIKE, HAVE A PULL DOWN MENU WITH THE FOLLOWING LIST:>>
    Sandy
    Loamy
    Silty
    Clayey
    (In order to determine the site's soil texture, please refer to Cornell University's Soil
    Texture Fact Sheet.)


-----------
<<MIKE, IF THE ANSWER TO THE PREVIOUS QUESTION IS EQUAL TO OR GREATER THAN 3, THE FOLLOWING ADDITIONAL FIELDS APPEAR>>

    Three or More Rain Gardens at the Same Site

    Please fill out the following information regarding the additional potential rain garden sites.

    Address:

    City:

    State:

    Zip Code:

    County:

    Two Photographs of the Potential Site of the Rain Garden:
    (File size limit 2 MB.  If your upload does not work, try a smaller picture.)
    Remove Photograph

    Soil Texture:
<<MIKE, HAVE A PULL DOWN MENU WITH THE FOLLOWING LIST:>>
    Sandy
    Loamy
    Silty
    Clayey
    (In order to determine the site's soil texture, please refer to Cornell University's Soil
    Texture Fact Sheet.)


------------

    III. Community Participation

    Please fill out the following information regarding your community participation with the
    rain garden installation and stormwater management education.


    Reason Why You Want to Install a Rain Garden:

    How will you obtain the following materials?:

            Soil Amendments (sand, compost, etc.):

            Mulch:

            Plant Materials:

            Optional Supplies (Stone, PVC Piping, Deer Fencing, Hoses, Sprinklers, Etc.):

            Tools (Excavator/Backhoe, Shovels, Rakes, Rototiller, Wheelbarrow, Hand
            Spades, Gloves, Etc.):


            Signage and Handouts:
       
            Volunteer Labor:

    Date of Anticipated Installation (MMDDYYYY):

    Who will maintain the rain garden(s) on a short-term basis?:

    Short-term maintenance typically occurs within the first few months of the rain garden
    installation and consists of the following: watering, weeding, observing the rain garden
    during rain events and noting any problems or successes, replacing mulch that has
    washed away, caring for any newly-planted plants that may have been uprooted
    immediately following rain events, and taking photographs.


    Who will maintain the rain garden(s) on a long-term basis?:

    Long-term maintenance typically occurs after the first few months of the rain garden
    installation and continues throughout the life of the rain garden.  Long-term maintenance
    consists of the following: weeding, pruning, removing debris, litter, and sediment, cutting
    down/mowing the rain garden at the very end or beginning of the season, preparing a
    long-term photographic journal, removing/replacing plants that have not survived or that
    are diseased, harvesting cuttings for future rain garden projects from the plants that have     flourished, and applying new mulch.


    How do you plan to conduct the stormwater management educational program?:

    A stormwater management educational program typically consists of a series of
    stormwater and rain garden educational presentations.  If you decide to conduct training
    prior to your rain garden installation, an option is to plan for a demonstration rain garden
    installation immediately following a rain garden lecture - this will allow for "as-you-build"
    instruction.  Additonally, once the rain garden has been installed, a commmunity
    education program is needed to continue teaching the community the importance of
    stormwater management.


    How do you plan to publicize your the rain garden to your community (newspaper,     television, radio, website, etc.)?


RESET  (Reset will clear all fields above.)

SUBMIT (success)

SUBMIT (not success)
       
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