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Take a moment to tell us about your lake by filling out this form. We will respond to you shortly.

Thank you.

Name:
Title:
Address:
City:
Zip:
Referred By:
Email:
Phone
State:
Country
Is this an existing lake? Yes No
How old is the lake? yrs
Is there water in it right now? Yes No
Is it losing water? Yes No
If yes, how much is it losing per day? vertical inches
Approximate Size: sq. feet or acres
Average Depth:
Slope Angle (ie. 3:1, 2:1, etc.)?
Is there ground water present in the lake? Yes No
Has anyone attempted to seal the lake before? Yes No
If yes, with what?
Has there been any testing done on the soil? Yes No
If yes, what were the results?
Is the site around the lake established? Yes No
If Yes, is there accessibility to the lake without damaging the existing surroundings? Yes No
What are the soils like in the area?

Clay? Yes No      Sand? Yes No

Are there any fish in the pond/lake? Yes No
Please describe any structural problems: (Rock layers, sinkholes, evidence of leaking of flowing water through a dam, etc. )
Do you have a permanent water source to fill the pond other than rainfall? Yes No
Additional Comments:
Please include any other important information about your lake here.

Thank you for taking the time to fill out this form.
The Sales Team at Seepage Control, Inc.