21
Put your logo here*** Permaculture Site Inventory Site Visit ______________ Client Questionnaire: ________________________________________________ _____________________ Client profile: Date: ______________ Client: ______________________________Phone #_______________hm _______________cell Client: ______________________________Phone #_______________wk ____________Fax Address:_____________________________Email___________ ______Email__________________________________________ ________ Occupation’s__________________________________ Property Size________________ Number of People Onsite_______________ Ages___________ How long do you plan to live at the site_______________________________________________ Animals/Pets________________________ Property Owner_______________________________

erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Put your logo here***

Permaculture Site Inventory                                  Site Visit ______________Client Questionnaire:_____________________________________________________________________Client profile:Date: ______________Client: ______________________________Phone #_______________hm _______________cellClient: ______________________________Phone #_______________wk ____________FaxAddress:_____________________________Email_________________Email__________________________________________________ Occupation’s__________________________________ Property Size________________ Number of People Onsite_______________ Ages___________How long do you plan to live at the site_______________________________________________Animals/Pets________________________ Property Owner_______________________________Hobbies________________________________________________________________________Budget or Financial Limitations:  

Page 2: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

        _______________________________________________________________________________Amount of time for maintaining property:            _______________________________________________________________________________Client Needs:_______________________________________________________________________________Prioritize Goals:         

Page 3: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

  _______________________________________________________________________________Wish List:        _______________________________________________________________________________Your Philosophies and Ethics for this Project:      _______________________________________________________________________________Current Maintenance Needs:           _______________________________________________________________________________

Page 4: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Maintenance Goals:        _______________________________________________________________________________Constraints/Concerns/Known Problems on site (please list):            _______________________________________________________________________________Timeline/Phasing Limitations or Goals:        _______________________________________________________________________________Onsite Resources:

Page 5: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

       _______________________________________________________________________________Level of self-reliance (present and future) diet and food preferences, vegetables, herbs, berries, orchards, nuts, livestock:      _______________________________________________________________________________Existing Plans/Drawings (contour maps, land survey, legal description, aerial photos, site drawings):      _______________________________________________________________________________Importance of Privacy:       ________________________________________________________________

Page 6: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

_______________Neighbors (anything we should know):     _______________________________________________________________________________Contractors/Designers/Specialists Currently Working Onsite:  Name_______________________ Company_____________________ Specialty___________________________Contact Information:  Name_______________________ Company_____________________ Specialty___________________________Contact Information:   Name_______________________ Company_____________________ Specialty___________________________Contact Information:   Permaculture Site Inventory____________________________________________General:Acres____ Climate Zone_____ Rural____ Suburban____ Residence____ Commercial____Gov Dis___________ Avg Annual Rainfall_______ Avg Annual Evaporation_______ Avg Max Temp_______ Avg Min Temp_______ Aspect_______ Watershed______________________ Composting System__________ Rate Fire danger________ Avg Sunny days________

Page 7: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Depth to water table_______ Septic system________ Elevational Gradient_________Good Views___________________ Bad Views___________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Predictable Disaster’s:Fire_______ Flood_______ Earthquake_______ Hurricane_______ High Wind_______Extreme Drought_________ Chemical Exposure___________ Other________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Energy Resources:Grid______ Propane______ Solar/Grid_______ Solar/battery______ Solar/Hot water_______ Micro-hydro______ Biomass________ Wind_______ Radiant Floor_______Passive Solar_________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Page 8: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Existing Structures/Future Buildings:Main House______________ Guest house___________ Greenhouse___________Chicken Coup_________ Sheds____________ Office___________ Outdoor Classroom________Other Buildings__________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Land Form:Ridges_____ Saddle_____ Valley_____ Gentle Slope_____ Steep Slope_____ Flat____ Terraces____ Cliff____ Wetland_____ Vernal Pools_______ Swale/Hummock_______Notes:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Water flows:Creek______________ River_____________ Stream_________ Lake__________Roof Runoff_____ # Rfs_______ Sq/Ft Bldg 1___________ Bldg 2 __________Bldg 3________Road Runoff_______ Sq/Ft Road surface _________Other Surface Flows___________________ Pond Overflow_______ Other______________________________________________________Notes: _______________________________________________________________________________________________________________________________________________

Page 9: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

______________________________________________________________________________________________ Water resources:Well_____ GPM_____ Springs_______ GPM_____ Ponds_______ Water Tanks______Grey Water_________ Rain Catchments_______ Pressure Pump _____ Avg PSI______ Gravity/Head______________ Quality______________ Tested_______ Strengths_____________________________ Weaknesses________________________________Average water Use in Summer______________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Water Filtration:Carbon_______ Sand________ UV___________ Ozone____________ RO___________ Biological____________ Chemical___________ Other____________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Waste Water:Sinks______________ Showers_____________ Bath______________ Laundry_____________Septic tank______ Where ________________ Leach field______ Where___________________ Expansion Field___ Where_____________ Grey water ________ Infiltrator System__________Constructed Wetland________ Specs________________________________________________

Page 10: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Erosion Problems:Gully__________ Stream Bank_________ Road Cut___________ Oversaturated soil_________ Culvert_______ Slope Instability___________ Other___________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Erosion Control:Retaining Walls_______ Contour Brush Pile________ Outsloping________ Rock Toe_________Boulders__________ Biological Control___________ Drainage___________ Other___________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Underground Pipes:Electric______________ Where_________________ Gas________ Where________________Water_______________ Where_________________ Cables___________ Where_____________Notes: ________________________________________________________________

Page 11: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

_____________________________________________________________________________________________________________________________________________________________________________ Earthworks:Terraces________ Swales__________ Ripping__________ Keyline____________ Diversion Drains_________ Raised Beds__________ Road/Pathways_____________ Basins____________ Dry Creek _____________Pond________________ Rolling Dip_________________Other Grading___________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Soil Tests: Mineral/Nutrients_________ Compaction__________ Structure____________ Shake_________ Profile__________ Microbial__________ Saturation___________ Drainage____________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Soil Structure: Composition (sandy-loam, silty-clay etc.)____________________________Color___________ 

Page 12: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Soil Profile:Strata 1_______________ Depth________________ Strata 2___________Depth______________Strata 3_______________ Depth________________ Strata 4___________ Depth_____________Sand %___________ Silt %___________ Clay %__________ Organic Matter %______________ Hardpan_______ Depth____________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Soil Drainage:Fast ____________ Medium _____________ Slow______________ None_______________GPH____________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Geology:Surveyed__________ Serpentine___________ Chist_____________ Limestone____________Other_______________ Depth to Bedrock____________ Exposed Bedrock____________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Page 13: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

 Existing Plant vegetation:Forested___________ Partially Forested___________ Pastoral_________ Chaparral ________ Desert__________ Native Prairie ___________ Wetland___________ Riparian_____________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Plant Varieties:Invasives Approximate % ___ By Name:          Natives Approximate %___ By Name:          Existing MicroclimatesFrost Pockets_________________ Citrus Belts___________________Wind filters________________________ Solar Bowl____________________

Page 14: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Boulders ________________________ Shelters_______________________ Fog____________ Thermal Mass Elements_________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Domestic Animals:Goats__________ Cows__________ Llama___________ Alpaca_________ Pigs_____________ Horses_________ Bison_________ Sheep_________ Chickens________ Guinea Fowl_________ Emus_______Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Observed Wildlife:Deer________ Turkey________ Boar_____ Bobcat_____ Fox______ Badger_________Mountain Lion______ Skunk_____ Opossum_____ Weasel_______ Raccoons_________ Other__________________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Pollution:Vineyard/AG Runoff________________ Road Runoff________________

Page 15: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

Noise_________________ Industry_______________________ Other__________________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Special sites:Vista’s____________ Special Trees’_____________ Hang Out Spaces___________ Outdoor Dining ___________ Sacred Sites ____________Other__________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ IrrigationTimer____________________ # Valves__________________ Filters_______________________ GPH___________GPM__________ PSI__________ Electricity___________________________Valve Boxes__________ Check Valves___________ Pipe Sz_______________ PVC_________ HDPE_____________ Stand Pipes________________ HL Stand Pipes_____________________Other__________________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  

Page 16: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

FencingExisting fence_______ Need Fence________ Length________ Height_________Wooden Poles__________#____ Metal Poles___________#_____ Wire Fencing____________Wattle Fencing ___________ Living Hedge_________________ Gates___________#_______Other____________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Masonry:Rock Walls__________ Lg 1____________ Ht 1___________ Lg 2__________ Ht 2_________Lg 3____________ Ht 3___________ Lg 4__________ Ht 4_________ 5 __________________Flagstone Patio_______ Sq/Ft___________ Flagstone Path_________ Sq/Ft_______________Stone Steps (# of Sets)__________ # of Steps 1_____ # of Steps 2_____ # of Steps 3_____ Width_________ Rise__________ Run____________ Skirt Stone_______ Mortar________Other_______________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Legal Restrictions:Setbacks________________________________________________________________________ Zoning__________________________________________________________

Page 17: erikohlsen.com · Web viewWater resources: Well_____ GPM_____ Springs_____ GPM_____ Ponds_____ Water Tanks_____ Grey Water_____ Rain Catchments_____ Pressure Pump …

_______________ Existing Permits_________________________________________________________________ Needed Permits__________________________________________________________________ Other__________________________________________________________________________Notes: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Put your address, email, and phone here