Questionnaire – Tricon Environmental

Maitjene Questionnaire

1Details

2Activities

3Water Use

4Future Plans

Contact Details

Name

First Last

Phone

Farm Details

Farm Name

Farm Number

Farm Portion

Farm Activities

Crops Planted Each Year

Type of Crop

Hectares planted per season

Season

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Livestock or Game on Farm

Type of Animals

Number of Animals

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Is there a lodge / camp site on the farm?

Are there people living on the property?

Ablution facilities?

Water Use Activities - Current

Surface Water

Being used

Number of abstraction points

Annual cubic meters abstraction (if available)

Ground Water

Being used

Number of boreholes

Annual cubic meters abstraction (if available)

Spring Water

Being used

Number of springs

Annual cubic meters abstraction (if available)

Off-Stream Dams

Being used

Number of off-stream dams

Annual cubic meters abstraction (if available)

In-Stream Dams

Being used

Number of in-stream dams

Storage capacity cubic meters (if available)

Dams Used for Storing Waste Water

Being used

Number of waste dams

Storage capacity cubic meters (if available)

Use of Waste Water

Are there any water treatment facilities which discharge water?

Is waste water discharged into rivers or streams?

Do you irrigate with waste water?

Future Plans

Do you plan / need to develop any of the the following in future?

New dams or river crossings?

Additional reservoirs or balancing dams?

Additional boreholes?

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