TSS Legacy Pile Survey for Communities/RM

TSS Legacy Pile Community/RM Survey

The answers in this survey will allow TSS to prioritize jurisdictions and a large scale tire collections for clean-up. TSS is striving to provide a transparent system that guides expectations for communities on when legacy tire issues will be addressed.

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* 1. Name of Community

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* 2. Community Contact Information

Name

Email Address

Phone Number

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* 3. Backup Contact

Name

Email Address

Phone Number

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* 4. Name of urban or rural municipality (if applicable)

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* 5. Estimated Number of Tires in Community

Less than 500 tires

501 - 1,000 tires

1,001 - 1,600 tires

1,601-2,500 tires

2,501 - 5,000 tires

5,001 - 10,000 tires

Over 10,000 tires

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* 6. Are legacy tire pile(s) free of debris and rims?

Yes

Uncertain

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* 7. Desired Location for Community Tire Collection Event

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* 8. Directions to Location

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* 9. Does Collection Area provide sufficient room for semi and maneuvering around pile with a skid steer?

Yes

Uncertain

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* 10. Distance from closest urban municipality

Less than 5 kms

6-25 kms

Greater than 25 kms

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* 11. Size of Nearby Population

Less than 100 people

101 - 500 people

501 - 1,000 people

1,001 - 5,000 people

More than 5,000 people

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* 12. Proximity from Fire Response Personnel

No fire response within 100 kilometers

Less than 10 kilometers

11 - 25 kilometers

26 - 50 kilometers

51 - 75 kilometers

76 - 100 kilometers

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* 13. Pile Located on a First Nation Reserve

Yes

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* 14. Area Previously Serviced by Tire Cleanup Initiative

Yes

Uncertain