Y-Valve Education Pilot Program - Marina and Yacht Club Participation Form Survey

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* 1. Marina or Yacht Club contact information

Marina or Yacht Club Name

Contact Name

Title

Email Address

Phone Number

Marina Address

City/Town

ZIP/Postal Code

Number of slips

Number of boats with holding tanks ( if this information is available)

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* 2. Our Marina or Yacht Club will participate in the Y-Valve Education Pilot Program.

Yes

Unsure - I would like to speak with Ecology first before committing

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* 3. We agree to include information about the No Discharge Zone; securing your Y-valves and using dye tabs to check for leaks and Y-Valve closures during inspections in our tenant lease agreements. (Suggested sample lease language will be provided for you to consider)

Yes

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* 4. We agree to include information about the program in at least one tenant communication channel (i.e. website, social media, newsletter, outreach materials) during the Pilot timeframe.

Yes

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* 5. Describe the outreach channels to be used ( i.e. website, social media, newsletter, outreach materials)

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* 6. We agree to educate our staff to ensure they are knowledgeable about the Y-Valve Education Pilot Program and the No Discharge Zone.

Yes

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* 7. We agree to prominently display the Y-Valve Education Pilot Program signage provided by the Program at our marina for the duration of the pilot.

Yes

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* 8. We agree to document the total number of boats inspected, number of Y-valves found open, and the number of sewage discharges identified, if any during the Pilot timeframe. NOTE: We are not tracking individual boaters with this program. We are using it as a way to share information. The data collected will help us to evaluate the pilot.

Yes

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* 9. We agree to educate tenants about the No Discharge Zone and share educational resources provided about the program.

Yes

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* 10. My Marina or Yacht club participates in the: (Check all that apply)

Clean Marina Program

EnviroStars Program

Other (please specify)

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* 11. My Marina or Yacht club has: (Check all that apply)

Guest slips

Full-time/seasonal slips

Liveaboards

Other (please specify)

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* 12. My Marina or Yacht club has: ( Check all that apply)

Stationary pumpout

Mobile pumpout boat that tenants can call for pumpout services

Trained marina staff to assist boaters with pump-out operation

Portable pumpout unit

None of the above

Other (please specify)

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* 13. My Marina or Yacht club routinely inspects boats: (Check all that apply)

On Lease initiation

Annually

Every six months

When there is a problem

None of the above

Other (please specify)

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* 14. My Marina or Yacht Club: (Check all that apply)

Uses dye tests during routine vessel inspections to check for sewage leaks and to ensure Y-valve is closed.

Has included information about the No Discharge Zone rule in tenant lease agreements

Has language in tenant lease agreements allowing marina operator to board and inspect vessels

None of the above

Other (please specify)

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* 15. My Marina or Yacht Club would be willing to use dye tabs during inspections

On all vessels with holding tanks

Only when there is a suspicion of a leak

Only when investigating a possible illicit discharge

All of the above

None of the above

Other (please specify)

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* 16. How would you rate your level of interest in placing dye tabs in the holding tanks of ALL vessels that use your marina or yacht club?

Not interested but will still participate in the pilot

Somewhat interested

Interested

Very interested

Not interested but will still participate in the pilot

Somewhat interested

Interested

Very interested

Other (please specify)

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* 17. My Marina or Yacht club: ( Check all that apply)

Requires tenants to show proof of monthly pumpouts

Keep log sheets of tenant’s pump-outs

Publicly recognizes tenants/boaters who are making an effort to prevent pollution - a feature in marina newsletter, give an award etc

None of the above

Other (please specify)

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* 18. How confident are you in talking about the No Discharge Zone with marina tenants and guests?

I can accurately speak about the No Discharge Zone with marina tenants and quests

I cannot provide the No Discharge Zone details myself but I can direct tenants to the No Discharge Zone resources and webpage

I would need more information about the No Discharge Zone before trying to communicate it to boaters

Other (please specify)

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* 19. What's your assessment of the level of interest that your tenants might have for the Y-Valve Education pilot program in your marina or yacht club?

Very interested

Interested

Somewhat interested

Not at all interested

Other (please specify)

Y-Valve Education Pilot Program - Marina and Yacht Club Participation Form

Please, fill out this agreement form by checking the boxes

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* 1. Marina or Yacht Club contact information

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* 2. Our Marina or Yacht Club will participate in the Y-Valve Education Pilot Program.

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* 3. We agree to include information about the No Discharge Zone; securing your Y-valves and using dye tabs to check for leaks and Y-Valve closures during inspections in our tenant lease agreements. (Suggested sample lease language will be provided for you to consider)

Question Title

* 4. We agree to include information about the program in at least one tenant communication channel (i.e. website, social media, newsletter, outreach materials) during the Pilot timeframe.

Question Title

* 5. Describe the outreach channels to be used ( i.e. website, social media, newsletter, outreach materials)

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* 6. We agree to educate our staff to ensure they are knowledgeable about the Y-Valve Education Pilot Program and the No Discharge Zone.

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* 7. We agree to prominently display the Y-Valve Education Pilot Program signage provided by the Program at our marina for the duration of the pilot.

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* 9. We agree to educate tenants about the No Discharge Zone and share educational resources provided about the program.

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* 10. My Marina or Yacht club participates in the: (Check all that apply)

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* 11. My Marina or Yacht club has: (Check all that apply)

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* 12. My Marina or Yacht club has: ( Check all that apply)

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* 13. My Marina or Yacht club routinely inspects boats: (Check all that apply)

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* 14. My Marina or Yacht Club: (Check all that apply)

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* 15. My Marina or Yacht Club would be willing to use dye tabs during inspections

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* 16. How would you rate your level of interest in placing dye tabs in the holding tanks of ALL vessels that use your marina or yacht club?

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* 17. My Marina or Yacht club: ( Check all that apply)

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* 18. How confident are you in talking about the No Discharge Zone with marina tenants and guests?

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* 19. What's your assessment of the level of interest that your tenants might have for the Y-Valve Education pilot program in your marina or yacht club?

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* 20. Based on your interactions with boaters, what do you think would motivate them to let you place dye tabs in their holding tanks?

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* 21. What is motivating you to want to participate in the Y-Valve Education Pilot program?

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* 22. Please, provide any other suggestions on how a Y-Valve Education Program can be implemented in your marina or yacht club.