City of Paducah P.O. Box 2267 Paducah, Kentucky 42002 Phone: 270-444-8511 Web: paducahky.gov
Comprehensive Stormwater Master Plan
Storm Drainage & Flooding Questionnaire
Please complete, sign, and date the survey and return, whether or not you have experienced flooding. This form
can either be completed electronically, or printed, signed, and returned in the mail. Please send any photos showing
flooding on your property along with the date of the flooding and your address to
stormwateranddrainage@paducahky.gov.
Name: ___________________________________________________________________________________
Complete Address: _________________________________________________________________________
May we call you? Yes No Best phone number to reach you: ________________________________
Email address: ________________________________ How long have you occupied this property? ______ years
Has the inside of your building flooded during or after a storm? Yes No
If yes, what part of the building floods? Please check all that apply and add additional comments below.
Basement: First floor: Crawl space:
Comments:
How did the water enter the building? Please check all that apply and add additional comments below.
Door: Window: Floor drain: Seeped through walls: Toilet: Drain backup:
Comments:
How many times has your building flooded since you have occupied it? 1: 2: 3-4: 5 or more:
Does the flood water have an odor like sewage? Yes No
Did you see sewage debris (toilet paper, etc.) in the water? Yes No
What was the estimated cost of flood damage to your building per event? $________________
Does your street flood? Yes No If Yes, can cars pass? Yes No
Do you think a fire truck could have driven down the street during the storm? Yes No
If you answered yes, to any of these questions, we would like to contact you for more information. Please check
the preferred means and time to contact you:
Phone: Email: Morning: Afternoon: Evening: Weekend:
Signature Date
Additional Comments (feel free to write on the back of this form):
