Indian Field-Sugar Hill Transmission Line Routing Study Questionnaire Survey

This survey will help the routing team understand your interests and concerns and incorporate this information into the route selection process.

YOUR INFORMATION

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* 1. Name

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* 2. Organization (if applicable)

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* 3. Address

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* 4. City/State/Zip

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* 5. Email

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* 6. Phone

PLEASE CHECK WHICH OF THE FOLLOWING APPLIES TO YOU

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* 7. Please check which of the following applies to you

My Home/Property is in the study area

My Business is in the study area

I’m interested in the project, but do not live or own property in the study area

Government representative

If Government representative, which agency

Other, please explain

HOW DID YOU FIND OUT ABOUT THE PROJECT/THIS MEETING?

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* 8. Please check which of the following applies to you

Mailing

Neighbor/Friend

Internet

Other, please explain

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* 9. Please select the number indicating the level of importance of that factor to you. Please rank ALL factors.

	Not Important (1)	(2)	Somewhat Important (3)	(4)	Most Important (5)
Distance from homes/residences	Distance from homes/residences Not Important (1)	Distance from homes/residences (2)	Distance from homes/residences Somewhat Important (3)	Distance from homes/residences (4)	Distance from homes/residences Most Important (5)
Distance from commercial businesses/future developments	Distance from commercial businesses/future developments Not Important (1)	Distance from commercial businesses/future developments (2)	Distance from commercial businesses/future developments Somewhat Important (3)	Distance from commercial businesses/future developments (4)	Distance from commercial businesses/future developments Most Important (5)
Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.)	Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.) Not Important (1)	Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.) (2)	Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.) Somewhat Important (3)	Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.) (4)	Distance from public facilities (e.g. schools, parks, churches, cemeteries, etc.) Most Important (5)
Distance from historic/cultural sites	Distance from historic/cultural sites Not Important (1)	Distance from historic/cultural sites (2)	Distance from historic/cultural sites Somewhat Important (3)	Distance from historic/cultural sites (4)	Distance from historic/cultural sites Most Important (5)
Distance from conservation areas	Distance from conservation areas Not Important (1)	Distance from conservation areas (2)	Distance from conservation areas Somewhat Important (3)	Distance from conservation areas (4)	Distance from conservation areas Most Important (5)
Crossing of wetlands, floodplains, and streams/rivers	Crossing of wetlands, floodplains, and streams/rivers Not Important (1)	Crossing of wetlands, floodplains, and streams/rivers (2)	Crossing of wetlands, floodplains, and streams/rivers Somewhat Important (3)	Crossing of wetlands, floodplains, and streams/rivers (4)	Crossing of wetlands, floodplains, and streams/rivers Most Important (5)
Crossing cropland/pastureland	Crossing cropland/pastureland Not Important (1)	Crossing cropland/pastureland (2)	Crossing cropland/pastureland Somewhat Important (3)	Crossing cropland/pastureland (4)	Crossing cropland/pastureland Most Important (5)
Crossing forested land	Crossing forested land Not Important (1)	Crossing forested land (2)	Crossing forested land Somewhat Important (3)	Crossing forested land (4)	Crossing forested land Most Important (5)
Following property lines	Following property lines Not Important (1)	Following property lines (2)	Following property lines Somewhat Important (3)	Following property lines (4)	Following property lines Most Important (5)
Following roads	Following roads Not Important (1)	Following roads (2)	Following roads Somewhat Important (3)	Following roads (4)	Following roads Most Important (5)
Following other utility corridors	Following other utility corridors Not Important (1)	Following other utility corridors (2)	Following other utility corridors Somewhat Important (3)	Following other utility corridors (4)	Following other utility corridors Most Important (5)
Total length of the project (reducing the total cost)	Total length of the project (reducing the total cost) Not Important (1)	Total length of the project (reducing the total cost) (2)	Total length of the project (reducing the total cost) Somewhat Important (3)	Total length of the project (reducing the total cost) (4)	Total length of the project (reducing the total cost) Most Important (5)

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* 10. If you have concerns with one or more transmission line segment(s) shown on the display of potential routes, please indicate the segment letter(s) and describe your concern. (Write Route Color/Number and Concern)

ADDITIONAL COMMENTS

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* 11. If you would like to comment further on your answers above or identify any other issues that you would like to be considered, please use the space below or an additional sheet of paper.

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* 12. I would like to request follow-up to my questions/concerns

Yes

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* 13. Preferred method for follow-up

Phone

Mail