Urban/Small Lot Application Watershed-Friendly Urban Application - Small Lot 12345 Applicant InformationApplicant's Name* Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*AdamsAlleghenyArmstrongBeaverBedfordBerksBlairBradfordBucksButlerCambriaCameronCarbonCentreChesterClarionClearfieldClintonColumbiaCrawfordCumberlandDauphinDelawareElkErieFayetteForestFranklinFultonGreeneHuntingdonIndianaJeffersonJuniataLackawannaLancasterLawrenceLebanonLehighLuzerneLycomingMcKeanMercerMifflinMonroeMontgomeryMontourNorthamptonNorthumberlandPerryPhiladelphiaPikePotterSchuylkillSnyderSomersetSullivanSusquehannaTiogaUnionVenangoWarrenWashingtonWayneWestmorelandWyomingYorkPhone Number*Your phone number will only be used if it's necessary to contact you regarding your application.Email Address* Type of PropertyWhat residence best pertains to your living situation? Your response should reflect area other than your residence itself and that you have control over.*Apartment building unitHouse (either attached or detached) with property between 1 - 50 square feet that you controlHouse (either attached or detached) with outdoor space between 50.1 - 10,500 square feet (1/4 acre) that you controlShared property ( e.g. communal property, HOA) with under 10,500 square feet (1/4 acre) that you controlOtherApartment* With zero outdoor space With 1-50 square feet of outdoor space that you control With over 50 square feet of outdoor space that you control Other (please specify) Does your property have a pond/lake or stream/creek/river on or adjacent to it?* Yes No WatershedsIn what MAJOR watershed is your property located?*DelawareErieGeneseeOhioPotomacSusquehanna (i.e., Erie, Delaware, Genesee, Ohio, Potomac, Susquehanna) In what LARGE watershed is your property located?* (e.g.,Perkiomen Creek, Lehigh River)If you do not know your LARGE watershed, please visit (https://mywaterway.epa.gov) here • Under “Let’s Get Started,” type in the address of the property to be certified and click “Go” • The next screen will have a map of your watershed on the left and data on the right. At the top of the right-hand section is the property address. Directly underneath the address is the LARGE watershed. Reduce Stormwater RunoffStormwater runoff is when precipitation from rain and snowmelt flows over land or impervious surfaces and does not percolate into the ground.Following major rainfall events, flooding and the health of our waterways have become serious concerns for many homes and communities. When rainwater falls on impervious surfaces (i.e., driveways, sidewalks, roofs, and compacted soil), the water cannot be absorbed by the land where it can be stored and/or released slowly to surface water. Water that is stored in the ground as groundwater flows slowly to surface water bodies, such as streams and rivers, which is beneficial to humans and the environment. Instead, impervious surfaces cause water to flow to storm drains on or near your property and then into the nearest stream, causing the stream to flood. Too much rainfall in a short period of time can cause flash floods which often result in hazardous conditions which may disrupt our daily lives. Flood events can also negatively impact the environment. Fast-moving water can change the landscape by eroding stream banks and degrading nearby ecological habitats. Individuals, families, and communities can make a positive contribution in this category by using best practices to maximize the amount of water absorption and slow the flow of stormwater. Indicate to what extent you use these best practices for reducing stormwater runoff.Note: if a question is not applicable to your property or you do not have control over the property, simply answer "NA" RUN OFF REDUCTION MEASURES: Use of impervious surfaces*Property minimizes impervious surfaces (e.g., hardscaping, brick, paved, or concrete surfaces) excluding housing, outbuilding roofs, and zoning-required pavement such as sidewalks. Always Most of the time Some of the time Never Not Applicable Rain garden, swales*Property has a rain garden, vegetated swale, or bioswale (planted with diverse, dense, and native vegetation.) Yes No Not Applicable Rain garden, swales*Property has a rain garden, vegetated swale, or bioswale Yes No Not Applicable Discharge to permeable surfaces*Water discharge from sump pumps and/or rain barrels is released onto permeable surfaces such as flower beds or lawns (as opposed to driveway/storm drains) Yes No Not Applicable Keep storm grates clear of debris*Rain barrels are drained between rain events Always Most of the time Some of the time Never Not Applicable Permeable Areas*Property has permeable areas, including planted areas, permeable sidewalks, gravel pathways, etc. Always Most of the time Some of the time Never Not Applicable Your property has water on it or adjacent to it: The water edge is covered by no-mow and forested riparian buffer zone*The water edge is covered by no-mow and forested riparian buffer zone* Yes No Not Applicable Grasses*A variety of native and non-invasive grasses, deep-rooted plants, and trees are planted in the riparian buffer zone along the water. Yes No Not Applicable Reducing Water PollutionWater that runs off your property is part of your watershed. What we do and add to our land can be carried to these local streams with stormwater runoff. When fertilizers, pesticides, and de-icing products are used outdoors (i.e.., applied to lawns and yard areas), excess chemicals have the potential to be mobilized by rainfall and become unintentional pollutants in our watersheds. Stormwater runoff may also pick up soil particles, debris, and chemicals from the ground’s surface. In some cases, excess nutrients such as nitrates from fertilizers can filter down through the soil to groundwater, thus potentially impacting the quality of the groundwater as well as nearby surface water. Additionally, while water leaving your home goes to a treatment facility, contaminants in wastewater run the risk of overburdening the system. The addition of these chemicals to groundwater and surface water may be potentially harmful to human health and the environment, therefore it is important to protect these water resources. In this category, applicants indicate what they are doing to reduce water pollution and contamination in their homes and their outdoor spaces. Note: if a question is not applicable to your property or you do not have control over the property, simply answer "NA" Indicate to what extent you practice the following behaviors for reducing water pollution. Minimize or eliminate outdoor use of pesticides and herbicides, especially near water outlet areas and storm drains*Minimize or eliminate outdoor use of pesticides and herbicides, especially near water outlet areas and storm drains. Always Most of the time Some of the time Never Use non-toxic cleaning products in moderate amounts.*Use non-toxic cleaning products in moderate amounts. Always Most of the time Some of the time Never Maintain good housekeeping practices to eliminate potential physical or chemical hazards entering waterways (e.g. properly dispose of cleaning products, cooking oil, medicines, pesticides, old paint, etc)*Maintain good housekeeping practices to eliminate potential physical or chemical hazards entering waterways (e.g. properly dispose of cleaning products, cooking oil, medicines, pesticides, old paint, etc) Always Most of the time Some of the time Never Avoid single-use plastics thereby reducing waste through using reusables such as reusable shopping bags, containers and related items.*Minimize single-use plastics thereby reducing waste through using reusables such as reusable shopping bags, reusable water bottles, containers and related items. Always Most of the time Some of the time Never Recycle materials when systems are in place for their collection.*Recycle materials when systems are in place for their collection. Always Most of the time Some of the time Never Direct appropriate food and kitchen waste to compost service or on-site compost*Direct appropriate food and kitchen waste to compost service or on-site compost. Always Most of the time Some of the time Never Pick up and properly dispose of, or recycle, any litter on property and adjacent areas including sidewalks and streets*When present, pick up and properly dispose of, or recycle, any litter on property and adjacent areas including sidewalks and streets. Always Most of the time Some of the time Never Test soil to determine needs before applying any amendments (e.g., fertilizer, lime, etc.)*Test soil to determine needs before applying any amendments (e.g., fertilizer, lime, etc.). Always Most of the time Some of the time Never Not Applicable Pick up pet waste immediately and dispose of it properly (e.g., collect in a compostable bag and directed to a municipal/commercial waste management)*Pick up pet waste immediately and dispose of it properly (e.g., collect in a compostable bag and directed to a municipal/commercial waste management). Always Most of the time Some of the time Never Not Applicable Minimize/Eliminate use of salt/ice-melt products*Minimize/Eliminate use of salt/ice-melt products. Always Most of the time Some of the time Never Not Applicable Use a commercial car wash*Use a commercial car wash. Always Most of the time Some of the time Never NA Keep property free of hazardous materials (e.g. old cars, old batteries)*Keep property free of hazardous materials (e.g. old cars, old batteries). Always Most of the time Some of the time Never Not Applicable Keep motor oil or antifreeze from spilling onto the ground or into the storm drain*Keep motor oil or antifreeze from spilling onto the ground or into the storm drain. Always Most of the time Some of the time Never Not Applicable Compost yard waste or send to a composting service*Compost yard waste or send to a composting service. Always Most of the time Some of the time Never Not Applicable Keep pets away from bodies of water on or adjacent to your property*Keep pets away from bodies of water on or adjacent to your property. Always Most of the time Some of the time Never Not Applicable Do not use herbicides or pesticides on or near water or riparian area (excluding defined invasive species control programs)*Do not use herbicides or pesticides on or near water or riparian area (excluding defined invasive species control programs). Always Most of the time Some of the time Never Not Applicable Conserving WaterClean water is essential for every living organism. Whether your water is provided by the local water company or it is pumped from the aquifer under your property, it is not an endless supply. Water shortage concerns are most recognized during drought conditions. Droughts result from the lack of precipitation over extended periods of time. The lack of sufficient rainfall can result in less water reaching the groundwater aquifers, thus lowering the water table and your water supply. Similarly, water levels in surface water bodies such as streams and lakes can also go down, resulting in less habitat for wildlife. During these times, excessive water usage, especially for non-essential use, can further deplete the water resources. Therefore, it is critical to conserve water and allow the natural systems to recharge so that there is always a steady supply. Conserving water should be considered daily, even if there are not drought conditions.Applicants can make a positive contribution in this category by using best practices to conserve water within their household and on their property. Indicate to what extent you follow these best practices for conserving water. Note: if a question is not applicable to your property or you do not have control over the property, simply answer "NA" WATER CONSERVATION PRACTICES: Reduce water use inside the home by turning off water while soaping hands/brushing teeth, limiting shower time, and other methods*Reduce water use inside the home by turning off water while soaping hands/brushing teeth, limiting shower time, and other methods. Always Most of the time Some of the time Never Fix plumbing leaks or drain issues immediately*Fix plumbing leaks or drain issues immediately. Always Most of the time Some of the time Never When cooking, peel and clean multiple vegetables in a large bowl of water instead of under running water.*When cooking, peel and clean multiple vegetables in a large bowl of water instead of under running water. Always Most of the time Some of the time Never Collect water from everyday use for watering indoor or outdoor plants, cleaning equipment, and other needs*Collect water from everyday use for watering indoor or outdoor plants, cleaning equipment, and other needs. Always Most of the time Some of the time Never Allow lawns and trees to be watered only by rain or captured rainwater.*Allow lawns and trees to be watered only by rain or captured rainwater. Always Most of the time Some of the time Never Not Applicable Do not pre-rinse dishes before placing in the dishwasher*Do not pre-rinse dishes before placing in the dishwasher. Always Most of the time Some of the time Never Not Applicable Run the dishwasher only when full*Run the dishwasher only when full. Always Most of the time Some of the time Never Not Applicable Limit exposed soil in flower beds, gardens, and container gardens through dense plantings or maintaining 3-4” of mulch*Limit exposed soil in flower beds, gardens, and container gardens through dense plantings or maintaining 3-4” of mulch. Always Most of the time Some of the time Never Not Applicable Water vegetables, gardens, container gardens, or newly planted trees in the cooler part of the day.*Water vegetables, gardens, container gardens, or newly planted trees in the cooler part of the day. Always Most of the time Some of the time Never Not Applicable Use a broom to clean sidewalks, patios, driveways instead of water from a hose.*Use a broom to clean sidewalks, patios, driveways instead of water from a hose. Always Most of the time Some of the time Never Not Applicable Avoid using a sprinkler for watering.*Avoid using a sprinkler for watering. Always Most of the time Some of the time Never Not Applicable Supporting Wildlife and PollinatorsAs land within a watershed is developed, there becomes less habitat for wildlife, and the balance within ecosystems is disrupted. In an ecosystem, every living organism plays a vital role and interacts with one other as well as with their physical environment. For example, some native birds (i.e., bluebird) eat and feed insects to their young. If a landowner uses non-native plants and insecticides on their property, the likelihood of having a native bird population is lessened. The same is true for many types of wildlife. Some insects (i.e., butterflies) require a specific native host plant to complete their lifecycle. Vegetation (i.e., trees, shrubs, grasses) is also essential to provide shelter and food for wildlife. The importance of pollinators such as bees, butterflies, beetles, and bats, is undeniable. Considering that one-third of the food we eat is dependent on pollinators, it is important to provide a suitable habitat and food supply for them. Applicants can make a positive contribution in this category by providing/creating habitat on their property to support and benefit wildlife and pollinators. Indicate to what extent you follow these best practices for supporting wildlife and pollinators. Note: if a question is not applicable to your property or you do not have control over the property, simply answer "NA" SUPPORT WILDLIFE AND POLLINATORS: Maintain at least 70% native plantings on property*Maintain at least 70% native plantings on property. Yes No NA Let leaves sit and vegetation stand through winter months (provides food and shelter)*Let leaves sit and vegetation stand through winter months (provides food and shelter). Always Most of the time Some of the time Never Not Applicable Maintain a brush pile or dead wood away from housing to provides shelter for wildlife*Maintain a brush pile or dead wood away from housing to provides shelter for wildlife. Yes No Not Applicable Provide a water source like a bird bath or small fountain if there is no nearby water source on your property*Provide a water source like a bird bath or small fountain if there is no nearby water source. Yes No Not Applicable Do not plant non-native invasive plants*Do not plant non-native invasive plants. Always Most of the time Some of the time Never Not Applicable Monitor and attempt to control invasive plants using research-based ecologically friendly methods*Monitor and attempt to control invasive plants using research-based ecologically friendly methods. Yes No Not Applicable Maintain and/or increase shaded areas on bodies of water*Maintain and/or increase shaded areas on bodies of water. Yes No Not Applicable Replace invasive plants from water, streambanks, and in the riparian buffer zone on your property with native plants.*Replace invasive plants from water, streambanks, and in the riparian buffer zone on your property with native plants. Always Most of the time Some of the time Never Not Applicable You/your family engage in freshwater sports (e.g., boating, fishing, freshwater swimming, tubing, etc.) - Inspect and clean water gear*Follow the clean/drain/dry protocol for gear (e.g., boats, trailers, swimming equipment, etc.) for invasive species before and after use (e.g., insects and vegetation). Always Most of the time Some of the time Never Not Applicable Individual actions and decisions can affect ourselves, our neighbors, and our communities. When members of the community take positive actions, the benefits are shared by all and may inspire others to also take action in a groundswell of activity and behaviors that benefit the local watershed and indirectly benefit those downstream. Applicants can make a positive contribution in this category by participating in community-based actions to benefit the health of the local community and watershed. Community-based Actions- Mark storm drains near your home or participate in community drain marking activity*Mark storm drains near your home or participate in community drain marking activity. Yes No Not Applicable Participate in at least one community tree planting*Participate in at least one community tree planting annually. Always Most of the time Some of the time Never Help plan or install a rain garden or native plant garden at a park, library, or other public site at least once a year.*Help plan or install a rain garden or native plant garden at a park, library, or other public site at least once a year. Always Most of the time Some of the time Never Help with regular maintenance of a native planting, rain garden, or tree planting in the community or nearby public land.*Help with regular maintenance of a native planting, rain garden, or tree planting in the community or nearby public land. Always Most of the time Some of the time Never Participate in an organized litter pick-up*Participate in an organized litter pick-up at least once a year. Always Most of the time Some of the time Never Regularly pick up trash in your neighborhood on your own*Pick up trash in your neighborhood on your own. Regularly Most of the time Some of the time Never Adopt a nearby storm drain to clean and unblock the grates, and notify the municipality if a problem is observed*Adopt a nearby storm drain to clean or culvert and unblock the grates, and notify the municipality if a problem is observed. Always Most of the time Some of the time Never How did you hear about the Watershed-Friendly Property program and application?*Did you make any changes to your property or behaviors in order to qualify for this certification?* Yes No If applicable, please attach 1 to 3 photos of the watershed-friendly features on your property. Please limit uploads to files no greater than 500kb. By submitting a photo(s), you grant Nurture Nature Center and the Penn State Extension Master Watershed Steward Program permission to use or reproduce the photographs in publications intended for educational use and outreach related to the Watershed-Friendly program and other general programming and outreach (including but not limited to printed publications, web pages and web-based publications, outreach materials and displays). PhotosPhoto 1Accepted file types: jpg, jpeg, png, gif.FileDescriptionPhotosPhoto 2Accepted file types: jpg, jpeg, png, gif.FileDescriptionPhotosPhoto 3Accepted file types: jpg, jpeg, png, gif.FileDescriptionUntitledEmailThis field is for validation purposes and should be left unchanged.