Flood Mitigation Land Use Assessment Form
Evaluate how the use of this property or site impacts flood mitigation. Please complete all fields for a comprehensive assessment.
Property or Site Name
*
Location (City, State, or Coordinates)
*
Current Land Use Type
*
Please Select
Residential
Commercial
Industrial
Agricultural
Public/Institutional
Vacant
Other
Estimated Percentage of Impervious Surface
*
0–10%
11–25%
26–50%
51–75%
76–100%
Presence of Flood Mitigation Features
Retention/Detention Basin
Permeable Pavement
Rain Garden
Green Roof
Swale/Ditch
Other
Flood Risk Level for This Site
*
1
2
3
4
5
Assessment of Flood Mitigation Practices
*
Rows
Not Present
Partially Present
Fully Implemented
Stormwater Management
1
2
3
Riparian Buffer Zones
4
5
6
Floodplain Preservation
7
8
9
Erosion Control
10
11
12
Community Engagement
13
14
15
Estimated Frequency of Flooding Events (per year)
*
Never
1–2 times
3–5 times
More than 5 times
Has the site experienced any recent flood mitigation improvements?
*
Yes
No
Additional Comments or Observations
Submit Assessment
Should be Empty: