City of Madison Engineering Division West Washington Avenue and Henry Street Resurfacing Questionnaire

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* 1. Please provide your contact information for potential follow-up questions from City staff.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Does your property, or the roadway adjacent to your property, have any drainage/stormwater issues?

Yes, my property, or the roadway adjacent to my property, has drainage/stormwater issues.

No, my property, or the roadway adjacent to my property, does not have drainage/stormwater issues.

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* 3. If you selected "yes, my property, or the roadway adjacent to my property, has drainage stormwater issues," please answer the following questions:

Where does the flooding occur?

Where does the water come from? (Downspouts, neighbor, street, etc.)

How often does the flooding occur?

Any additional details you can share? Such as approximate date(s) when flooding has occurred? You can attach photos and send more information on the City of Madison Flood Reporting Portal: www.cityofmadison.com/reportflooding

Type "No" if you selected "No" in the previous question, and have no information to share at this time.

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* 4. Optional private storm sewer connections will be included with this project, as needed. They connect an existing underground private storm service from your home, typically from a downspout or sump pump, to the public storm water system and can help move storm water away from your home. The connection from the public storm sewer would be provided to the property line, and this work is assessable.

Would you be interested in a private storm sewer connection?

(Please contact Eric Cefalu at ECefalu@cityofmadison.com for more information)

Yes

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* 5. Are you aware of any sanitary sewer issues with your property, such as sewer back-ups?

Yes

If yes, please provide additional information such as type of issue and frequency.

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* 6. As part of this project, some driveway aprons may need to be reconstructed due to utility work and driveway/curb conditions. The standard installation method for new aprons is to match the existing driveway width at the sidewalk and then flare out by 5’ on either side at the curb, which is also used to taper the curb back to the standard height. Do you have any issues with the grade or width of your existing driveway apron or have concerns with the standard apron installation? Please note that the width of aprons installed with the project will need to be consistent with Madison Ordinances.

Yes

If yes, please describe further.

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* 7. Do you have any accessibility concerns that you wish to share with us? When necessary, the project specifications can include additional information and requirements of the contractor(s) to assist with maintaining access to your property during construction.

Yes

If yes, please describe further.

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* 8. Are there any items adjacent to or within the public right-of-way that we should be aware of prior to starting construction? Please keep in mind that if you want to save any special improvements within the right-of-way, such as landscaping, invisible fencing, sprinklers, etc. you will need to remove these items prior to construction.

Yes

If yes, please describe further.

City of Madison Engineering Division West Washington Avenue and Henry Street Resurfacing Questionnaire

Question Title

* 1. Please provide your contact information for potential follow-up questions from City staff.

Question Title

* 2. Does your property, or the roadway adjacent to your property, have any drainage/stormwater issues?

Question Title

* 3. If you selected "yes, my property, or the roadway adjacent to my property, has drainage stormwater issues," please answer the following questions:

Question Title

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* 5. Are you aware of any sanitary sewer issues with your property, such as sewer back-ups?

Question Title

Question Title

* 7. Do you have any accessibility concerns that you wish to share with us? When necessary, the project specifications can include additional information and requirements of the contractor(s) to assist with maintaining access to your property during construction.

Question Title

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* 9. Do you have any other concerns related to this project that you would like to share with us? If so, please share below.