Revised Site Survey

Please print this page and them mail them to us at the following address:
The Dock Doctors
19 Little Otter Lane
Ferrisburg VT 05456

Site Survey Form - Please fill it out the Best You Can

	Name
	Mailing Address
	Home Phone
	Cell Phone
	Fax
	Best # to Reach You
	Best Time to Call
	Location of waterfront property & name of lake (if different from address above.)
	Email
1	Do You have an Existing Dock?	yes no
2	If Yes, What Type
3	If Other Type Dock, please Describe
3	Type of Dock you would prefer
Waterfront Access
4	Can a vehicle get to the waters edge?	Yes No
5	Is there a sea wall or retaining wall?	Yes No
6	Is there a gradual bank or lawn leading to the waters edge?	Yes No
7	Is there a cliff or a set of stairs leading to the waters edge?	Yes No
8	Do you need a new set of stairs?	Yes No
9	If yes, what is the approximate drop?
Lake Bottom Contour
10	Does the bottom drop off rapidly	Yes No
11	Does the bottom gradually get deep?	Yes No
12	Is the water extremely shallow?	Yes No
13	Does the water level fluctuate?	Yes No
14	Lake bottom has (choose all that apply)	Mud Sand small stones Large Rocks & Boulders Shale Other
15	Is your site in a protected? (choose one that applies)	semi-protected exposed area of lake
16	What type of wind are you exposed to?	(i.e. northeast, ect)
17	During the roughest conditions, what are the approx. wave heights?
18	The Dock will be used for (check all that apply)	Accessing a Boat Tying up a boat permanently Tying up a boat temporarily only while being used swimming Sun Bathing Other
19	How far would you like the dock to extend?
20	Water depth at end of desired dock length
21	Do you want (check all that apply)	Lights fenders cleats ladder other
22	Would we be installing the new dock for the first time?	Yes No
23	What type of boats do you have (check all that apply)	power [Make, length, draft, weight with fuel] sail [Make, length, draft)
24	Do you keep your boat on a mooring?	Yes No
25	Do you have a boat lift?	Yes No
26	Do you need a new boat lift?	Yes No
27	If yes, electric drive for the lift?	Yes No
28	Any Other Comments