River-Friendly - The Stony Brook-Millstone Watershed Association

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River-Friendly Business Certification Program Application
CONTACT INFORMATION
Date: _______________ Business Name: _______________________________________________________
Mailing Address:
______________________________________________________________________________
______________________________________________________________________________
Street Address:
______________________________________________________________________________
If different from above
Facility Staff
Maintenance
Manager
Environmental
Director
River-Friendly
Contact
Name
Phone Number
CAMPUS DESCRIPTION
Please provide a sketch or site plan of your facility.
A. Total Property Area: __________
B.
The building was originally built in what year? __________
C.
Number of year-round maintenance staff: __________
D. Indicate the size (in acres) of the following:
Type of Area
Existing building area
Other impervious cover (sidewalks, parking
lots)
Mowed Lawn Area
Wetland Area
Forested Area
Meadow Area
Waterbodies
Detention Basins
Total
River-Friendly Application – 1
Acres
Email Address
E.
Please indicate the locations and sizes on your property of the following:
No-mow Areas (acres):
________________________________________________________________________
No-spray Areas (acres): ________________________________________________________________________
Stream Buffers (linear feet & width): _____________________________________________________________
F.
What is the yearly maintenance cost for your grounds, excluding capital expenditures?
__________________________________________________________________________________________
G. How many hours are spent on grounds maintenance per year, excluding capital projects?
________________
H. When adding plants, do you use native plant species? Yes
No
Sometimes
WATER QUALITY MANAGEMENT
I.
Please identify where runoff from different areas flows. For instance, does runoff flow directly
into streams or ponds? If so, which ones? If not, where does the runoff flow? Please illustrate on
your site plan.
___________________________________________________________________________________________
___________________________________________________________________________________________
J.
How would you classify the water quality of the streams and ponds on or near your business
now?
Poor
Please circle:
K.
Fair
Good
Excellent
Has your facility experienced any water quality problems (e.g., algal blooms, muddy water,
etc.)?
Yes
No
If yes, specify: _________________________________________________________
If yes, were you able to identify any of the potential sources or causes (e.g. poor water flow, geese)?
Explain.
___________________________________________________________________________________________
___________________________________________________________________________________________
River-Friendly Application – 2
L.
Which of the following does your business implement? :
Integrated Pest Management (If yes, please attach a copy of your
plan, including a map of the area and tolerated threshold levels,
methods of monitoring and identification, and plan for pest control)
Yes
No
N/A
Yearly soil samples
Use of pesticides with low toxicity
Use of pesticides with low solubility
Use of slow-release fertilizers
Use of organic turf application products
Composting of leaves and grass clippings on site
Water quality monitoring program (If so, please attach a summary)
M. Please attach a descriptive summary of your fertilizer usage for the past 2 years, including rates,
timing, and total amount applied per year.
N. Please attach a descriptive summary of your pesticide usage for the past 2 years, including rates,
timing, and total amount applied per year.
WATER CONSERVATION TECHNIQUES
O.
Check the following that are applicable to your business:
Yes
No
Does your course have a conservation strategy? (If yes, please
attach)
Do you collect rainwater for irrigation and watering?
Do you use reclaimed wastewater for irrigation?
Do you mulch trees, shrubs, and flowerbeds on site?
Do you use leaves, grass, and tree clippings as natural mulch or
fertilizer?
P.
What is your average indoor water usage (indicate units per day or per month)? :
Summer usage: _______________________
Winter usage: ________________________
Q. What is your average outdoor water usage (indicate units per day or per month)?
Summer usage: _______________________
River-Friendly Application – 3
Winter usage: ________________________
WILDLIFE AND HABITAT ENHANCEMENT
R.
What successes and problems have you had in maintaining, protecting, or enhancing wetlands,
naturalized areas, no-mow areas, no-spray areas, etc. on site?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
S.
What species of wildlife do you see or have evidence of at your site on a regular basis?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
T.
Does your business do anything to encourage or protect these species (e.g. bird/bat houses)?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
U. Please describe any habitat restorations that have been done at your facility.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
V.
Describe if and how your facility controls wildlife (such as deer, Canada geese, etc.).
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
River-Friendly Application – 4
EDUCATION AND OUTREACH
W. Have employees, clients or other members of the local community ever encouraged your
business to implement environmentally friendly practices? Please include any specific examples.
___________________________________________________________________________________________
___________________________________________________________________________________________
X.
Have employees, clients or members of the local community ever complained about practices of
your business? Explain.
___________________________________________________________________________________________
___________________________________________________________________________________________
Y.
Describe and explain any educational and outreach programs or facilities your business has
implemented.
___________________________________________________________________________________________
___________________________________________________________________________________________
OTHER COMMENTS
Z.
Is there anything else that you have previously done to make your business river-friendly?
___________________________________________________________________________________________
___________________________________________________________________________________________
AA. What special features of your facility should we know about?
___________________________________________________________________________________________
___________________________________________________________________________________________
BB. Are there other items specific to your site that we should know about?
___________________________________________________________________________________________
___________________________________________________________________________________________
River-Friendly Application – 5
YOUR GOAL(S)
CC. Are there any specific projects that you hope to implement at your facility through your
participation in the River-Friendly Business Certification Program?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________________________
___________________
____________________________________________________________________
___________________
Business River-Friendly Contact
SBMWA River-Friendly Coordinator
Date
Date
Please complete this application form in its entirety and send, with supporting
documents, to the Stony Brook-Millstone Watershed Association River-Friendly Coordinator:
Email: bmusolino@thewatershed.org
Fax:
609-737-3735 ext.37
Mail: Stony Brook-Millstone Watershed Association
Attn: River-Friendly Business Program
31 Titus Mill Road
Pennington, NJ 08534
Visit www.thewatershed.org for more information
River-Friendly Application – 6
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