River-Friendly Business Certification ProgramApplication

CONTACT INFORMATION

Date: ______Business Name: ______

Mailing Address:______

______

Street Address: ______

Facility Staff / Name / Phone Number / Email Address
Maintenance Manager
Environmental Director
River-Friendly Contact

CAMPUS DESCRIPTION

Please provide a sketch or site plan of your facility.

  1. Total Property Area: ______
  2. Thebuilding was originally built in what year? ______
  3. Number of year-round maintenance staff: ______
  4. Indicate the size (in acres) of the following:

Type of Area / Acres
Existing building area
Other impervious cover (sidewalks, parking lots)
Mowed Lawn Area
Wetland Area
Forested Area
Meadow Area
Waterbodies
Detention Basins
Total
  1. 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): ______

  1. What is the yearly maintenance cost for your grounds, excluding capital expenditures?

______

  1. How many hours are spent on grounds maintenance per year, excluding capital projects? ______
  2. When adding plants, do you use native plant species?Yes No Sometimes

WATER QUALITY MANAGEMENT

  1. 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.

______

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  1. How would you classify the water quality of the streams and ponds on or near your business now?

Please circle: Poor Fair Good Excellent

  1. 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.

______

______

  1. Which of the following does your business implement? :
/ Yes / No / N/A
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)
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)
  1. Please attach a descriptive summary of your fertilizer usage for the past 2 years, including rates, timing, and total amount applied per year.
  2. 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

  1. 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?
  1. What is your average indoor water usage (indicate units per day or per month)? :

Summer usage: ______Winter usage: ______

  1. What is your average outdoor water usage (indicate units per day or per month)?

Summer usage: ______Winter usage: ______

WILDLIFE AND HABITAT ENHANCEMENT

  1. What successes and problems have you had in maintaining, protecting, or enhancing wetlands, naturalized areas, no-mow areas, no-spray areas, etc. on site? ______

______

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  1. What species of wildlife do you see or have evidence of at your site on a regular basis? ______

______

______

  1. Does your business do anything to encourage or protect these species (e.g. bird/bat houses)? ______

______

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  1. Please describe any habitat restorations that have been done at your facility. ______

______

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  1. Describe if and how your facility controls wildlife (such as deer, Canada geese, etc.). ______

______

______

EDUCATION AND OUTREACH

  1. Have employees, clients or other members of the local community ever encouraged your business to implement environmentally friendly practices? Please include any specific examples. ______

______

  1. Have employees, clients or members of the local community ever complained about practices of your business? Explain. ______

______

  1. Describe and explain any educational and outreach programs or facilities your business has implemented.

______

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OTHER COMMENTS

  1. Is there anything else that you have previously done to make your business river-friendly?

______

______

  1. What special features of your facility should we know about?

______

______

  1. Are there other items specific to your site that we should know about?

______

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YOUR GOAL(S)

  1. Are there any specific projects that you hope to implement at your facility through your participation in the River-Friendly Business Certification Program? ______

______

______

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Business River-Friendly ContactDate

______

SBMWA River-Friendly CoordinatorDate

Please complete this application form in its entirety and send, with supporting documents,to the Stony Brook-Millstone Watershed Association River-Friendly Coordinator:

Email:

Fax:609-737-3735 ext.37

Mail:Stony Brook-Millstone Watershed Association

Attn: River-Friendly Business Program

31 Titus Mill Road

Pennington, NJ 08534

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River-Friendly Application – 1

River-Friendly Application – 1