Skip to Main Content
Loading
Loading
Government
Departments
Residents
Business
How Do I?
Home
Form Center
A
A
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Building Department/Fire Marshal
City Secretary
Customer Service
Emergency Management
Home Elevation
Nassau Bay Police
Parks & Recreation
By
signing in or creating an account
, some fields will auto-populate with your information.
YOUR INPUT MATTERS: FIXING OUR INFRASTRUCTURE
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
YOUR INPUT MATTERS: FIXING OUR INFRASTRUCTURE
The City of Nassau Bay respectfully requests your input on stormwater and sanitary sewer issues you have experienced since Hurricane Harvey in 2017. As we move into the FY2021 budget planning cycle, we would like know your experiences with street flooding and sanitary sewer backups in your home. This information will assist us in identifying areas unknown to staff and will be used to develop an action plan. The survey is less than 10 questions and should only take a few minutes. Your input will help make a difference.
1) What is your street address or the block of the street?
Example: 18742 Upper Bay Rd or 18000 Block of Upper Bay Rd
2) Has your home suffered water damage from flooding since Hurricane Harvey?
Yes
No
2a) If yes, was the flooding due to:
-- Select One --
Rising water from the street
Rising water in your yard
Other (fill in when prompted)
2b) If other, please describe:
3) Has the street in front of your house been impassable due to heavy rains?
Yes
No
3.a) If YES, in your own estimate, how long does it take to drain once the rain stops?
Example: 1.5 hours or 30 minutes
4) Have you encountered flooded / impassable streets that block access to the street your home is on?
Yes
No
4a) If yes, what is the name of the street?
4b) If yes, what is the closest intersection?
5) Have you had any sewage backups during or due to rain events since Hurricane Harvey?
Yes
No
6) Have you experienced a sewer smell in your home due to the use of the shower or toilet?
Yes
No
6a) If yes, how frequent is this occurrence? (Choose only one)
-- Select One --
Daily
Weekly
Monthly
Occasionally / Random
7) Please give any additional comments you feel are pertinent to stormwater or sanitary sewer issues.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Government
Departments
Residents
Business
How Do I?
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow