Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

United States Environmental Protection Agency 

Stormwater Discharges from Developed Sites 

Owner/Developer Long Questionnaire 

Survey ID: ________________ 

Please return the completed response no later than [date for returning questionnaire]

An Agency may not conduct or sponsor, and a person is not required to respond to, a collection 

of information, unless it displays a currently valid OMB control number. 

The public reporting and recordkeeping burden for this collection of information is estimated to 

average 73 hours per response. Send comments on the Agency's need for this information, the 

accuracy of the provided burden estimates, and any suggested methods for minimizing 

respondent burden, including through the use of automated collection techniques to the 

Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 

Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any 

correspondence. Do not send the completed questionnaire to this address. 

Owner/Developer Long Questionnaire Page 1 of 28
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

General Information 

Purpose of the Questionnaire 

Stormwater discharges from developed land can negatively impact water quality through 

increases in stormwater volume and increased pollutant loads to the receiving waters. To 

strengthen its stormwater regulations, EPA’s Office of Water (OW) is considering revisions to 

the current National Pollutant Discharge Elimination System (NPDES) regulations including the 

establishment of standards for long term stormwater discharges from developed sites. 

To collect data to inform decisions regarding how the nation’s stormwater regulations should be 

strengthened and to support the technical and financial feasibility associated with this 

rulemaking, EPA is sending the following questionnaire to owners/developers of residential, 

non-residential, industrial, and commercial sites. This questionnaire will provide EPA with 

information to: 

 Characterize current building and real estate improvement projects including type, 

location, and size; 

 Characterize the prevalence and type of stormwater controls implemented at new 

development and redevelopment sites to control long term stormwater discharges. These 

controls include, but are not limited to, practices that retain or infiltrate stormwater onsite 

(commonly referred to as low impact development practices, or LID) and more 

traditional stormwater practices (such as ponds); and, 

 Characterize the operations and financial condition of owners and developers that could 

be subject to revised regulations. 

Authority 

EPA has the authority to administer this questionnaire under section 308 of the Clean Water Act 

(Federal Water Pollution Control Act, 33 U.S.C. Section 1318). Participation in this 

questionnaire is mandatory, and you are required to respond. You must retain a copy of the 

completed questionnaire for your files. EPA may contact you with follow-up questions to clarify 

your answers. Late filing of the questionnaire, or failure to follow any related EPA instruction, 

may results in civil penalties, criminal fines, or other sanctions provided by law including the 

possibility of fines and imprisonment as explained in Section 308 of the Clean Water Act (33 

U.S.C., Section 1318). 

When to Complete the Questionnaire 

The response to this questionnaire must be received by EPA no more than 60 calendar days after 

receiving it. 

If you wish to request an extension, you must do so in writing no later than one week prior to the 

due date of this questionnaire. Written requests may be e-mailed to Ms. Jan Matuszko at 

matuszko.jan@epa.gov. 

Owner/Developer Long Questionnaire Page 2 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Where to Return the Questionnaire 

After completing the questionnaire and certifying the information that it contains, use the 

enclosed mailing label to mail the completed questionnaire to: 

U.S. Environmental Protection Agency 

Stormwater Owner/Developer Long Questionnaire 

c/o Eastern Research Group, Inc. 

14555 Avion Parkway, Suite 200 

Chantilly, VA 20151 

Certification Statement 

The individual responsible for directing or supervising the preparation of the questionnaire must 

read and sign the Certification Statement listed below. The certifying official must be a 

responsible corporate official or his/her authorized representative. The signed certification must 

be returned with the completed survey. 

Where to Get Help 

If you have any questions regarding completion of this questionnaire you can request assistance 

using EPA’s e-mail helpline provided below. Please include the name of the survey to which 

you are responding, the question number along with your questions. Respondents who desire 

assistance by telephone should send an e-mail with “Please Call Me” in the subject line. Please 

provide the call-back phone number, contact name, and desired day and time to call. The return 

phone call will be free of charge to the respondent. 

E-mail address for help line: _________________________________ 

Confidential Business Information 

Regulations governing the confidentiality of business information are contained in the Code of 

Federal Regulations (CFR) at Title 40 Part 2, Subpart B. You may assert a business 

confidentiality claim covering part or all of the information you submit. Information that is 

publicly available should not be claimed as confidential, as described in 40 CFR 2.203(b): 

“(b) Method and time of asserting business confidentiality claim. A business which is submitting 

information to EPA may assert a business confidentiality claim covering the information by 

placing on (or attaching to) the information, at the time it is submitted to EPA, a cover sheet, 

stamped or typed legend, or other suitable form of notice complying language such as ‘trade 

secret,’ ‘proprietary,’ or ‘company confidential.’ Allegedly confidential portions of otherwise 

nonconfidential documents should be clearly identified by the business, and may be submitted 

separately to facilitate identification and handling by EPA. If the business desires confidential 

treatment only until a certain date or until the occurrence of a certain event, the notice should so 

state.” 

If no business confidentiality claim accompanies the information when it is received by 

EPA, EPA may make the information available to the public without further notice. 

You may claim as confidential all information included in the response to a question by checking 

the Confidential Business Information (CBI) box next to the question number. Note that you 

may be asked to justify any claim of confidentiality at a later time, for example if someone 

Owner/Developer Long Questionnaire Page 3 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

requests access to your data. Note also that information claimed confidential cannot be accessed 

or used by the industry to evaluate data and analyses supporting the regulations. 

Information covered by a claim of confidentiality will be disclosed by EPA only to the extent of, 

and by means of, the procedures set forth in 40 CFR Part 2, Subpart B. In general, submitted 

information protected by a business confidentiality claim may be disclosed to other employees, 

officers, or authorized representatives of the United States concerned with implementing the 

Clean Water Act. The authorized representatives include employees of other executive branch 

agencies, who may review CBI during the course of reviewing draft regulations. 

Information covered by a claim of confidentiality will be made available to EPA contractors to 

enable the contractors to perform the work required by their contracts with EPA. All EPA 

contracts provide that contractor employees use the information only for the purpose of 

performing the work required by their contracts and will not disclose any CBI to anyone other 

than EPA without prior written approval from each affected business or from EPA's legal office. 

Owner/Developer Long Questionnaire Page 4 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Detailed Instructions for Completing the Questionnaire 

Complete the questionnaire considering the following instructions: 

 Personnel most knowledgeable about the subject areas covered by a specific section 

should complete that section of the questionnaire. 

 For all questions and sections, read all instructions and definitions carefully. Pay 

particular attention to the distinction between establishments and firms. 

 Do not leave any entry blank. If the answer is zero, write “0" or “zero”. If a question is 

not applicable, write “NA.” 

 Answer all of the questions in sequence unless you are directed to SKIP forward in the 

questionnaire. This is important since some questions and/or sections are only applicable 

to some respondents. 

 Use the units specified when responding to questions requesting measurement data (e.g., 

acres). If not specified and applicable, include units in your response

 The period of interest for the survey is calendar years 2005-2009 unless indicated 

otherwise. 

 Provide the requested information based on data you currently have. EPA is not 

requesting or recommending that respondents collect new data to provide information for 

this survey. However, you may need to contact other business establishments with which 

you were involved on individual projects, such as engineering or design firms, in order to 

answer some questions. Unless indicated otherwise, provide estimates if actual values 

are not available. 

Owner/Developer Long Questionnaire Page 5 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Certification Statement 

The individual responsible for directing or supervising the preparation of the enclosed 

Stormwater Discharges from Developed Sites Owner/Developer Long Questionnaire must read 

and sign the Certification Statement below before returning both documents to the U.S. 

Environmental Protection Agency. The certifying official must be an official duly authorized 

representative. The Certification Statement must be completed and submitted in accordance with 

the requirements contained in the Code of Federal Regulations at 40. CFR 122.22. 

 I certify under penalty of law that the attached questionnaire was prepared under my 

direction or supervision in accordance with a system designed to ensure that qualified personnel 

properly gathered and evaluated the information submitted. The information submitted is, to the 

best of my knowledge and belief, accurate and complete. In those cases where we did not possess 

the requested information, we have provided best engineering and/or financial estimates or 

judgment. I am aware that there are significant penalties for submitting false information, 

including the possibility of fines and imprisonment as explained in Section 308 of the Clean 

Water Act (33 U.S.C., Section 1318). 

_____________________________ _________________________ 

Signature of Certifying Official Date 

_____________________________ (______)_________________

Printed Name of Certifying Official Telephone Number 

_____________________________ 

Title of Certifying Official 

Owner/Developer Long Questionnaire Page 6 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Glossary of Terms 

Term Definition 

Bioretention 

A stormwater management practice that consists of an excavated 

area that is filled with a mixture of soil and organic matter and that 

is planted with vegetation that is tolerant of inundation and 

saturated soil conditions. Bioretention includes rain gardens, 

sidewalk planters, curb extensions and other plant or soil systems 

designed to filter, infiltrate or evapotranspirate stormwater. 

Cistern 

Large storage devices that are often built below ground, at ground 

level, or on rooftops, for storing captured stormwater and can be 

integrated with more sophisticated pumping devices. For example, 

some cisterns collect stormwater that is subsequently used for nonpotable plumbing, such as flushing of toilets, or irrigation 

applications. 

Commercial/Institutional 

A project that includes structures designed for use by retail, 

wholesale, office, hotel, or other service-providing 

facilities/businesses, including Federal, State, and local government 

facilities. 

Constructed Wetlands 

A man-made basin that contains water, a substrate (soil, gravel, 

rock, organic materials, etc.), plants (vascular and non-vascular), 

and organisms similar to those usually found in natural wetlands. 

The number of plants and the biodiversity of a constructed wetland 

are greater than that of wet retention pond. Constructed wetlands 

usually use a relatively impermeable subsurface layer to prevent 

water from seeping into the ground. 

Construction Phase 

The project phase following land acquisition and land development. 

Construction of structure(s) occurs during this phase. Activities in 

this phase also include any legal or marketing activities required to 

bring the project to completion. Also commonly called vertical 

construction. 

Detention Basin 

Practice which hold stormwater temporarily and discharge the 

stormwater over an extended period of time (hours to days) 

generally by controlling the size of the discharge volume and flow 

rate. 

Developer 

A person, business, or partnership that controls project design 

and/or land development activities associated with a project. The 

developer may make improvements to land parcel(s) owned by the 

developer or on behalf of a separate owner-entity (e.g., the 

developer may be the land owner’s agent). 

Establishment A single, permanent, physical office location where business is 

conducted and for which revenue, employment, and other records 

are kept. 

Owner/Developer Long Questionnaire Page 7 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Term Definition 

Final Project Value The value of the project at the time of completion. This value could 

be the project’s sales value or the recorded asset value of the project 

when has been completed. 

Firm A business organization or entity consisting of one or more 

domestic establishment locations under common ownership or 

control. 

Green Roof 

A vegetative system installed on top of and in addition to the 

traditional roof system. A green roof includes engineered soil 

layers (e.g., a waterproof membrane, drainage, high inorganic 

growing media), and appropriate plant species. Green roofs reduce 

surface runoff from the rooftop by absorbing stormwater and 

slowing stormwater flow rates, and provide ancillary benefits such 

as summer cooling, lowered urban heat island effect, and improved 

air quality. 

Impervious Surface 

Low-permeability material such as asphalt or concrete. Common 

impervious areas include, but are not limited to, roads, rooftops, 

walkways, patios, driveways, parking lots or storage areas, concrete 

or asphalt paving, or other surfaces which similarly impede the 

natural infiltration of storm water. 

Industrial A project that includes structures designed for industrial purposes 

including, producing, processing, or assembling goods (for 

example, manufacturing, agricultural, and mining structures). 

Infiltration Basin 

A shallow rock-filled trench or depression with no outlet intended 

to detain and then infiltrate stormwater into the underlying soil. 

Typically stormwater first passes through a swale or other 

stormwater control before reaching this device. 

Land Acquisition 

An initial project phase, preceding land development and 

construction. In this stage, financing is assembled to purchase raw, 

vacant, un-zoned land parcel(s). This phase may also include 

project design and planning elements using e.g., architectural 

services. For redevelopment projects the land has previously been 

developed and zoned. However, the property made need to be 

rezoned for a new purpose, and project will require designing and 

planning as well. 

Land Development 

The second project phase, following land acquisition and preceding 

construction. During this phase, raw land is converted into 

permitted, buildable lot(s) in a process that requires site approvals, 

hearings, etc. This process can take months to years. Costs incurred 

during this phase may include “soft” costs for architectural and 

engineering services, legal work, permits, fees, and testing; and 

“hard” costs, such as land clearing, installing utilities and roads, 

and preparing foundations or pads. 

Owner/Developer Long Questionnaire Page 8 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

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Term Definition 

Low Impact Development 

(LID) 

Development that is designed to be hydrologically functional by 

mimicking pre-development hydrology or hydraulic conditions. 

This is achieved by using design techniques that infiltrate, filter, 

evaporate, and store runoff close to its source (e.g. bioretention, 

rain gardens, cisterns, green roofs). 

Manufactured Device 

Manufactured devices include a variety of proprietary and nonproprietary stormwater management practices that are available 

from various suppliers and vendors and are designed to remove 

pollutants through a combination of filtration, gravity separation, 

flotation and hydrodynamic processes. Examples include catch 

basin inserts, filtration units, vaults and separators. 

Media Filter Filters that stormwater passes through for removal of solids. Filters 

can be made out of sand, peat, foam, crushed glass, textile, or other 

suitable material. 

Mixed Use Project A project that is designed for more than one land use category (for 

example, Single-Family Housing and Multi-Family housing, 

Residential and Commercial, or Commercial and Industrial). 

Multi-Family Residential 

A project where multiple separate housing units for residential (i.e., 

non-commercial) inhabitants are contained within one building; 

also known as multi-dwelling unit. Does not include attached 

single-family homes, such as townhouses. 

New Development 

Development that occurs on land where generally no or minimal 

structures or other impervious surfaces, such as buildings, parking 

lots, and roads exist, including agricultural, forested, and 

open/barren land. These are commonly referred to as Greenfield 

sites. 

Owner 

The firm, individual, or institutions for which the project is being 

built. The owner may also act as the developer for a project, or may 

hire or partner with a separate developer. 

Pervious Paving 

Pavement composed of a permeable pavement material, which 

allows distributed infiltration into the underlying soil. There may 

also be an underlying stone reservoir that temporarily stores the 

surface runoff before it infiltrates into the underlying soil. 

Examples include; porous asphalt, permeable concrete, permeable 

block pavers. 

Project 

New development or redevelopment of buildings or other real 

estate improvements on a contiguous site, which may be undertaken 

by a single entity or an entity partnership/team. A project generally 

consists of three phases: land acquisition, land development, and 

construction. It is possible that each entity or partnership actively 

involved in a project might only control one or two of the project 

phases, while another entity or partnership may control the other 

project phase(s).

Remodel Remodeling is alterations to the interior of a structure, and does not 

involve the installation of any new impervious surface. 

Owner/Developer Long Questionnaire Page 9 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Term Definition 

Redevelopment Development of sites with existing structures or impervious 

surfaces. Redevelopment does not include projects that are solely 

remodeling or alterations to the interior of a structure. 

Retention Basin 

A retention basin, also called a wet pond, is an impoundment that is 

designed to maintain a permanent pool of stormwater between 

storm events. A retention basin differs from a detention basin, 

which is designed to empty between storm events and does not 

maintain a permanent pool. 

Retention Practices Stormwater techniques that manage stormwater on-site through 

infiltration, evapotranspiration or harvesting. 

Single-Family Residential A project in which housing units are designed and maintained for 

occupancy by only one family. This includes both attached and 

detached single-family homes. 

Stormwater Post 

Construction Controls 

Practices that are installed and maintained to control post 

construction stormwater discharges. 

Swale 

A swale, sometimes called a biofilter, is a grass-lined channel that 

is designed to convey stormwater in shallow flow. Pollutant 

removal is accomplished through filtration through the vegetation 

and swales are frequently designed to allow for infiltration of 

stormwater. 

 

Stormwater controls that direct stormwater discharges to a treebox, 

where it can be filtered by the soil and vegetation. Some tree boxes 

may drain to a channel below, which conveys stormwater to the 

selected collection system. 

Transportation A project that includes uses such as highways and bridges 

Underground Detention Underground vaults, storage cells, or water piping systems used for 

stormwater flow rate and volume control. This is an alternative to 

storage above ground (e.g., pond). 

Underground Infiltration 

Underground infiltration includes a variety of proprietary and nonproprietary practices that are usually placed under parking lots and 

streets that temporarily store and infiltrate stormwater. Common 

materials include corrugated metal pipe, pre-cast concrete and 

polyvinyl chloride (PVC). 

Utility A project that includes uses such as water and/or gas pipelines, or 

electricity transmission lines. 

Water Body A water body includes waters of the state, waters of the U.S., and 

for purposes of this survey, generally includes any surface water 

such as a stream, river, lake, bay or ocean. 

Owner/Developer Long Questionnaire Page 10 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

General Information 

 1. Provide contact information for your establishment. 

Establishment’s Full Legal Name Address 

Phone/Fax Number Website 

Email 

 

2. Provide contact information for the person to whom EPA should direct follow up calls 

 concerning your responses to this questionnaire if necessary. 

Name Email 

Title Best Time to Contact 

Phone/Fax Number 

 This questionnaire will ask a series of questions about your operations and the projects in 

 which you participated during 2005 – 2009. Prior to responding to each question, please 

 carefully review the Glossary of Terms for applicable definitions. 

3. Many of the following questions will ask for information for each year that you were in 

business during 2005 – 2009. Unless specified otherwise, EPA is requesting that you provide 

 information for calendar years 2005-2009. However, for the financial questions only (e.g., 

 revenue, project value), you may respond for the calendar year or your fiscal year. Please 

 indicate whether you are reporting financial information for the calendar year or your fiscal 

 year by checking one box below. 

□ Calendar year (Skip to Question 4) 

□ Fiscal year 

 If you checked “Fiscal Year”, please indicate the first month of your fiscal year. 

□ January □ July 

□ February □ August 

□ March □ September 

□ April □ October 

□ May □ November 

□ June □ December 

Owner/Developer Long Questionnaire Page 11 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

4a. Did your establishment complete one or more phases of at least one construction, land 

development or redevelopment project during calendar years 2005 – 2009? If the only work you 

completed during calendar years 2005 – 2009 was alteration or remodeling of an existing 

structure or structures, then you should answer “No” to this question. 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4b. During calendar years 2005 – 2009, was your establishment the owner or developer for at 

least one project or a phase/portion of at least one project (either as the sole responsible party or 

as a participant in a joint venture or other multiple party structure)? 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4c. During calendar years 2005 – 2009, did your establishment complete at least one project that 

resulted in one or more acres of land disturbance AND/OR that resulted in the installation of 

5,000 square feet or more of new impervious surfaces (roads, roofs, etc.)? 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4c. Were all of your projects completed during calendar year 2005 through 2009 projects for 

which the area was reclaimed and no impervious surfaces were installed? Examples would be 

water, gas or utility pipelines or underground electric or telecommunications cables. 

□ Yes (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

□ No 

5. Indicate the state(s)/territories where your establishment has participated in projects at any 

 time during calendar year 2005 through 2009 (check all that apply). 

□ AL □ CO □ GA □ IN □ MD □ MO □ NC □ NY □ RI □ VA 

□ AK □ CT □ HI □ KS □ ME □ MT □ ND □ OH □ SD □ VT 

□ AR □ DE □ IA □ KY □ MI □ NM □ NH □ OK □ TN □ WA 

□ AZ □ DC □ ID □ LA □ MN □ SC □ NJ □ OR □ TX □ WI 

□ CA □ FL □ IL □ MA □ MS □ NE □ NV □ PA □ UT □ WV 

□ Puerto 

Rico 

□ Other U.S. Territory 

(specify):______________ 

□ WY 

Owner/Developer Long Questionnaire Page 12 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

6. Is your establishment independently owned and operated (i.e., the establishment is the same 

 entity as the firm)? 

□ Yes (skip to Question 10) 

□ No (continue to the next question) 

7. Provide contact information for the firm that owns and operates this establishment. 

Firm’s Full Legal Name Address 

Phone/Fax Number Website 

8. In what state is your parent firm organized as a legal entity? 

 __________________________________________ 

9. □ CBI. Complete the table below with your parent firm’s total annual revenue for 2005-2009. 

Provide values in dollars and fill in all values; you may round values to the nearest thousand 

dollars. If your firm was not in business for one or more of the years, enter “N/A” for those 

years. 

Total Firm Revenue (Dollars; may round to nearest thousand) 

Year 

2005 2006 2007 2008 2009 

10 Are you a publicly traded company? 

□ Yes 

□ No 

11. Indicate your type of business organization. 

□ Sole proprietorship 

□ Partnership 

□ Corporation (standard, “C” corporation) 

□ Subchapter S Corporation 

□ Limited Liability Corporation 

□ Other: _______________________________________ 

Owner/Developer Long Questionnaire Page 13 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Establishment Financial Information 

12. □ CBI. Complete the table below with your establishment’s annual revenue for 2005-2009. 

 Provide values in dollars and fill-in all values; you may round values to the nearest thousand 

 dollars. 

Establishment Revenue (Dollars; may round to nearest thousand) 

Year 

Revenue Type 2005 2006 2007 2008 2009 

Revenue from projects that 

meet the Question 4 Criteria 

All other revenue* 

Total Revenue** 

*Including, for example, new or redevelopment projects that do not meet the Question 4 Criteria, and

expansions or alterations of existing structures. 

**The previous two rows in the table should sum to this value. 

13. □ CBI. How much of your establishment’s annual revenue was generated by performing each 

 of the following roles? Provide values in dollars and fill in all values, indicating not 

 applicable categories with a “0”; you may round values to the nearest thousand dollars. 

Revenue (Dollars; may round to nearest thousand) 

Year 

Project Role 2005 2006 2007 2008 2009 

Owner Only 

Developer Only 

Owner & Developer 

14. □ CBI. How much of your establishment’s annual revenue was generated from the following 

 types of activity at any time during 2005 through 2009? Provide values in dollars and fill in 

 all values, indicating not applicable categories with a “0”; you may round values to the 

 nearest thousand dollars. 

Revenue (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

New Development 

Redevelopment 

Alterations and Expansions 

Owner/Developer Long Questionnaire Page 14 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

15. □ CBI. How much of your establishment’s annual revenue was generated from the following 

 types of projects during the period from 2005 through 2009? Provide values in dollars and 

 fill in all values, indicating not applicable categories with a “0”; you may round values to the 

 nearest thousand dollars. 

Revenue (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

Single-Family Residential 

Multi-Family Residential 

Commercial/ Institutional 

Industrial 

Transportation 

Mixed Residential (single-family 

and multi-family) 

Mixed Residential and 

Commercial/Institutional 

Mixed Commercial/Institutional 

and Industrial 

Other Mixed Use 

Owner/Developer Long Questionnaire Page 15 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Project Information: Part 1 

16. □ CBI. How many projects that meet the Question 4 Criteria was your establishment 

 participating in on the last day of 2009? 

_______________ 

17. □ CBI. How many total projects did your establishment finish participating in during 

calendar years 2005-2009? For projects meeting the Question 4 Criteria enter the number of 

projects that fall into each in each of the following size and type categories. For those projects 

that do not meet the Question 4 Criteria, enter the number that fall into each type category. 

Number of Projects 

Project Size Range for Projects Meeting the Question 4 Criteria 

Type of Project Less than 1 

Acre 

1 – 9.9 

Acres 

10 – 24.9 

Acres 

25 – 49.9 

Acres 

50 – 99.9 

Acres 

100 Acres 

or More 

Projects not 

Meeting the 

Question 4 

Criteria 

Single-Family 

Residential 

Multi-Family Residential 

Commercial/ 

Institutional 

Industrial 

Transportation 

Mixed Residential 

(single-family and multifamily) 

Mixed Residential and 

Commercial/Institutional 

Mixed 

Commercial/Institutional 

and Industrial 

Other Mixed Use 

Total 

Owner/Developer Long Questionnaire Page 16 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

18. □ CBI. For your residential projects that meet the Question 4 Criteria, how many projects did 

your establishment finish participating in at any time during calendar years 2005-2009 in 

each of the following categories? 

Number of Projects that Satisfy the Question 4 Criteria 

Group Projects by Number of Housing Units in Project Type of Project 1-10 Units 10 – 25 Units 25 – 50 Units 50 – 100 Units >100 Units 

Single-Family Residential 

Multi-Family Residential 

Mixed Residential (singlefamily and multi-family) 

Mixed Residential and 

Commercial/Institutional 

Other Mixed Use 

Total 

19. To your knowledge, how many projects that you participated in at any time during calendar 

 year 2005 – 2009 that meet the Question 4 Criteria incorporated low impact development 

 (LID) practices for post-construction stormwater management? 

________ 

20. □ CBI. Complete the table below with the total value of all projects: 

1. Where your participation in the project ended in the year indicated; and, 

2. That satisfy the Question 4 Criteria. 

The project value is the final value at the time when your participation in the project 

ended. This value could be the project’s sales value (whether as a project completed for 

retail sale or for sale to another party for performance of the next project phase), or the 

recorded asset value of the project when transferred from work-in-progress status to 

completion of your establishment’s participation in the project. Provide values in dollars 

and fill in all values; you may round values to the nearest thousand dollars. 

Project Value (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

Single-Family Residential 

Multi-Family Residential 

Commercial/ Institutional 

Industrial 

Transportation 

Owner/Developer Long Questionnaire Page 17 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Project Value (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

Mixed Residential (single-family 

and multi-family) 

Mixed Residential and 

Commercial/Institutional 

Mixed Commercial/Institutional 

and Industrial 

Other Mixed Use 

Total 

Owner/Developer Long Questionnaire Page 18 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Project Information: Part 2 Detailed Information 

The next set of questions is meant to help EPA to develop a profile of projects performed during 

the last five years. Rather than ask each respondent for information on all the projects they 

participated in during the 2005-2009 time period, EPA has assigned each respondent a random 

date during this period, and is asking respondents to describe the projects they participated in that 

were on-going on the specified date. An on-going project is one that was in the land acquisition, 

land development, or construction phase on the date identified below. 

Complete one copy of this section (covering Questions 21- 50) for each project that meets the 

Question 4 Criteria and that was on-going on ___________________. (this is a randomly 

generated date between January 1, 2005 and December 31, 2009) In the event that you were 

not responsible for the entire project, provide answers for the phases or portions for which you 

were directly involved and for general project questions that you know the answer to. 

Project Technical Information 

21. Project Name or other identifier you use to describe this project: 

 __________________ 

22. Were you the Owner/Developer for the entire duration of the project or just a phase/portion 

of the project?

□ I was the owner/developer for the entire project. (Skip to 24) 

□ I was the owner/developer for only a portion of the whole project. 

23. Please indicate what portions of the project you were the owner/developer for. 

□ General Site Clearing/Grubbing 

□ Grading 

□ Infrastructure (roads, utilities, etc.) Installation 

□ Lot Development/Vertical Construction 

24. If the property is non-residential and you did not retain ownership after project completion, 

who did you transfer ownership to? 

 ________________________________________________________________ 

25. Please provide the location of the project. 

Street Name & Address: Town/City: 

State: ZIP Code: 

Latitude: Longitude: 

Owner/Developer Long Questionnaire Page 19 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

26. Did you file for coverage under a state or federal general construction permit? 

□ Yes 

□ No (Skip to 30) 

27. What was the permit number assigned to you by the State or EPA when you filed for an 

NOI/NOC for the project? 

 __________________ 

28. What were the project start and end dates as listed on the NOI/NOC?

 Start Date _____________ End Date _____________ 

 (MM/DD/YYY) (MM/DD/YYY) 

29. What was the actual project start and end date? 

Start Date _____________ End Date _____________ 

 (MM/DD/YYY) (MM/DD/YYY) 

30. Indicate the project type and approximate size. If more than one type of developed area exists 

 within this project, specify by area. 

Developed Area Type Area of the Project (acres) 

Total 

Newly Developed Area 

Single-Family Residential detached 

Single-Family Residential attached 

Multifamily Residential 

Commercial 

Industrial 

Institutional 

Government 

Transportation 

Non-Building 

Redeveloped Area 

Single-Family Residential detached 

Single-Family Residential attached 

Multifamily Residential 

Commercial 

Industrial 

Institutional 

Government 

Transportation 

Non-Building 

31. How many residential dwellings units were constructed as a part of this project? (If none 

enter 0) ___________________ 

 

Owner/Developer Long Questionnaire Page 20 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

32. PRE-Construction Land Cover 

Indicate what the land cover of the project area was prior to your development activity. 

In the event of that you were only responsible for developing a portion of the project, 

indicate what the land use was when you began your construction activity. Check all that 

apply. 

□ Developed (includes buildings, roads, parking lots, etc.). Specify the types of 

developed areas present below. 

 □ Residential 

 □ Commercial 

 □ Industrial 

 □ Parking Lot 

□ Brownfield Area 

□ Barren/Open 

□ Forested/Woods 

□ Shrubland 

□ Grassland 

□ Pasture 

□ Cropland/Farm 

□ Wetlands 

□ Other (Specify __________) 

□ Don’t Know 

 

33. POST-Construction Land Cover 

Indicate the area occupied by each of the following site components. Fill in information 

for each site component. If not applicable write “NA”. If information is not available or 

unknown for a particular site component, please provide your best estimate or indicate 

“NK” for Not Known. 

(a) Indicate the area occupied by each of the following impervious site components. Do 

not include the footprint of buildings that have a green roof or disconnected spout leading 

to an infiltration BMP or transportation areas which are constructed of pervious pavers or 

other pervious materials. Rather, include these areas in response to part (b). 

Acres Covered by Impervious Site Components 

Site Component Area (Acres or % of 

Total Project Area) 

Building Areas/ Rooftops (house, garage, storage structure etc.) 

Roads 

Driveways 

Parking area 

Other Impervious Area, Specify:_______________________ 

Owner/Developer Long Questionnaire Page 21 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

(b) Indicate the area occupied by each of the following pervious site components. 

 

Acres Covered by Pervious Site Components 

Site Component 

Area (Acres or % of Total 

Project Area) 

Pervious paving (includes porous asphalt, pervious 

concrete, modular block pavers or similar practices) 

Grass lawns, turf grass or other open green space 

Infiltration BMPs (such as bioretention, rain gardens and 

swales) 

Water bodies including natural ponds and stormwater 

ponds 

Cropland/Pasture 

Natural vegetation and undisturbed areas (forest, 

shrubland, grassland, etc) 

Wetlands 

Other pervious area, specify:______________________ 

34. Is a waterbody located adjacent to the property, or does a waterbody pass through the 

 property? 

□ Yes □ No (SKIP to Question 36) 

35. Was there a vegetative buffer zone that was either preserved and/or created at the shoreline? 

□ Yes □ No 

36. Has a soils survey been conducted at the site? 

□ Yes 

□ No (Skip to 39) 

□ Don’t Know (Skip to 39) 

37. Indicate the approximate distribution of soil types at this site 

Type 

% 

Coverage 

Clayey soils (clay, clay loam) 

Silty soils (silt, silt loam) 

Loamy soils (loam, sandy loam) 

Sandy soils (sand, loamy sand) 

 

Owner/Developer Long Questionnaire Page 22 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

38. Indicate the approximate distribution of hydrologic soil groups at the site 

Soil Group 

% 

Coverage 

Group A 

Group B 

Group C 

Group D 

 

39. To what does the site discharge stormwater (check all that apply)? 

□ a MS4 owned and operated by a local government, sewer district or other public body 

□ direct discharge to surface water 

□ storm sewer/control structure (pond) owned by a private entity 

□ other, specify: ______________ 

40. Indicate which specific or numeric stormwater performance standards and/or design criteria 

 requirements apply to this project. (Check all that apply.) 

□ Post-development peak runoff/discharge rate must match pre-development peak 

runoff/discharge rate for a specified storm return interval or intervals. 

□ 1 year □ 25 year 

□ 2 year □ 100 year 

□ 5 year □ Other (Specify) __________ 

□ 10 year 

□ Detention of a specified storm depth or volume (such as 0.5 inch per acre or 1 inch per 

impervious acre). 

 (Specify) __________ 

□ Detention of a specified storm volume (such as 1,800 cubic feet per acre or 3,600 cubic 

feet per impervious acre). 

 (Specify) __________ 

□ Detention of a specified percentile storm event (such as the 80th percentile storm). 

 (Specify) __________ 

□ Retention of a specified storm depth or volume (such as 0.5 inch per acre or 1 inch per 

impervious acre). 

 (Specify) __________ 

□ Retention of a specified storm volume (such as 1,800 cubic feet per acre or 3,600 cubic 

feet per impervious acre). 

 (Specify) __________ 

□ Retention of a specified percentile storm event (such as the 80th percentile storm). 

Owner/Developer Long Questionnaire Page 23 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

 (Specify) __________ 

□ Pollutant reduction requirement (for example, stormwater control practices must be 

installed to remove 80% of the post-construction TSS loading and 40% of the postconstruction nitrogen loading) 

Specify: ____________ 

□ Channel protection measures (such as a maximum allowable discharge velocity or 

other metric) 

Specify: ____________ 

□ Infiltration/groundwater recharge requirement (for example, maintain predevelopment 

groundwater recharge levels or infiltrate the first 0.5 inch of runoff) 

Specify: ____________ 

□ Limits for effluent concentrations of specific pollutants 

Specify: ____________ 

□ Requirements for control of temperature 

Specify: ____________ 

 

□ Flood control requirements other than the peak discharge rate control and on-site 

detention/retention requirements specified above. 

Specify: ____________ 

□ Stream buffer requirements (for example, a 50 foot vegetated buffer must be 

maintained/implemented adjacent to waters of the state) 

Specify: ____________ 

 

□ Limits on the maximum percent imperviousness for the site, or maximum directly 

 connected impervious surface or other limits on impervious surfaces. 

Specify: ____________ 

□ Other Standards Not Identified Above, Specify: ___________________ 

41. Did your firm perform a cost comparison between traditional stormwater post construction 

controls (i.e. basins) and stormwater post construction controls that retain runoff onsite (also 

known as low impact development practices which include bioretention, rain gardens, etc) 

for this project? 

  Yes  No 

42. Were stormwater post construction controls that retain runoff onsite planned for this site? 

□ Yes □ No 

43. Were stormwater post construction controls that retain runoff onsite implemented on this 

site? 

□ Yes □ No 

Owner/Developer Long Questionnaire Page 24 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

44. What, if any, challenges did your establishment encounter in implementing stormwater post 

 construction controls that retain runoff onsite? Or if the controls/practices were 

 planned but not implemented, what prevented your establishment from implementing them? 

 Check all that apply. 

□ No stormwater controls/practices that retain runoff onsite planned or implemented 

□ Zoning ordinances 

□ Expense 

□ Local stormwater regulations/permit requirements 

□ Site limitations 

□ Financing requirements 

□ Lack of local providers with retention practice experience (site designers/engineers, 

 architects, subcontractors and installation, etc.) 

□ Lack of desirability by site owner or other project participant 

□ Other ____________________________________________ 

 □ Not Applicable 

□ None 

45. If on-site stormwater post construction controls had not been implemented at the site, how 

would the additionally available land most likely been used? Check all that apply. 

□ Additional building units 

□ Larger building footprint 

□ Additional connected impervious area such as parking, driveway, or garage 

□ Additional disconnected impervious area such as a shed 

□ Additional green space such as lawn 

□ Additional natural vegetation/undisturbed land 

□ Stormwater management technique did not have a footprint 

□ Other _________________________________________ 

□ Not Applicable (No on-site stormwater post construction controls/practices) 

□ Unknown 

46. Indicate which of the following stormwater post construction controls have been 

installed for this project. Check all that apply. 

□ Detention/retention basins 

□ Curbs and Gutters 

□ Storm Sewers 

□ Catch Basins 

□ Swales 

□ Constructed Wetlands 

□ Wetland Channels 

□ Underground Detention 

□ Underground Infiltration 

□ Manufactured Devices, specify: ____________________ 

□ Tree Boxes 

□ Green Roofs 

□ Bioretention/Rain Gardens 

□ Infiltration basins/trenches/dry wells 

Owner/Developer Long Questionnaire Page 25 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

□ Porous asphalt 

□ Permeable concrete 

□ Permeable modular block pavers 

□ Sand filters or other types of media filters 

□ Cisterns 

□ Rain barrels 

□ Other _________________________________________ 

□ None 

 

47. Provide an estimate of the final value of the project and the estimated cost of the stormwater 

post construction controls associated with this project. If your participation in the project 

ended prior to the completion of the construction phase, provide your best approximation. 

 Project value: $ __________________ 

 Stormwater Post Construction Costs $ __________________ 

 If costs of stormwater controls are unknown, provide an estimate of the 

 percentage of the total construction costs: ________% 

Project Financial Information

48. □ CBI. Please complete the table below regarding your participation in the phases of this 

project. 

Land 

Acquisition 

Land 

Development 

Project 

Construction 

Check all phases in which your establishment actively 

participated □ □ □

Indicate your establishment’s percent share of ownership in the 

project (%) ____% ____% ____% 

 

49 □ CBI. Provide the following financial information for each phase of the project in which you 

 were an active participant. 

Land Acquisition and Initial Project Planning and Design 

Item Cost ($) 

Raw Land Cost 

Fees - Legal, Accounting, Financing, and Permitting incurred during 

land acquisition phase 

Project Design, Architectural Services, etc. 

Interest or other financing costs incurred during this phase 

Establishment’s Overhead 

Other Costs 

Owner/Developer Long Questionnaire Page 26 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

Land Development 

Item Cost ($) 

Acquisition value (if your business participation in the project began 

at Land Development, what was the cost of purchasing partially 

developed land). 

Land Development (includes site preparation, site improvements such 

as paving, water and sewer connections, erosion and sediment 

control, land preservation and planting etc.) 

Fees - Legal, Accounting, Impact Analysis, Other 

Interest or other financing costs incurred during this phase 

Establishment’s Overhead 

Other Costs 

Project Construction 

Item Cost ($) 

Acquisition value (if your business participation in the project began 

at Project Construction, what was the cost of purchasing partially 

developed land) 

Fees - Legal, Accounting, Building Permit and Inspection, Other 

Cost of Construction – Materials, Labor, Services, Construction 

Contracts, etc. 

Interest or other financing costs incurred during this phase 

Establishment’s overhead 

Sale or Other Completion Disposition Costs (e.g., legal fees, 

accounting fees, marketing fees) 

Other Costs 

50. □ CBI. Provide information on the financial structure and financing terms for each phase of 

 the project in which you were an active participant. If you were not a participant in that phase 

 leave blank. 

Financing Information for Each Project Phase 

Item Land Acquisition Land Development Construction 

Primary Debt Financing (first or senior debt) 

Fraction Financed (%): 

Interest Rate, if a fixed rate (%): 

Interest Terms, if not fixed: 

Base Rate (check box): 

□ Prime Rate

□ LIBOR

□ Other: 

□ Prime Rate

□ LIBOR

□ Other: 

□ Prime Rate

□ LIBOR

□ Other: 

Increment to Base Rate (%): 

Owner/Developer Long Questionnaire Page 27 of 28 
Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires /XX/XX

Owner/Developer Long Questionnaire Page 28 of 28 

XX

Secondary Debt or Other Fixed Repayment Term Financing 

Description: 

Fraction Financed (%): 

Interest Rate, if a fixed rate (%):

Interest Terms, if not fixed: 

Base Rate (check box): 

□ Prime Rate

□ LIBOR

□ Other: 

□ Prime Rate

□ LIBOR

□ Other: 

□ Prime Rate

□ LIBOR

□ Other: 

Increment to Base Rate (%): 

Equity Financing (Owner’s Financing or other Non-Debt, Non-Fixed Repayment Term Financing) 

Fraction Financed (%): 

Other Equity Financing or other Non-Debt, Non-Fixed Repayment Term Financing (e.g., joint venture 

partner financing or limited partner financing) 

Description: 

Fraction Financed (%): 

Once you have completed a copy of this section for all projects described in the associated 

instructions on page 19, you have completed the questionnaire. Sign the Certification 

Statement and refer to instructions for mailing the questionnaire back to the United States 

Environmental Protection Agency. Thank you.