Date:  ______________________

What neighborhood do you live in? ______________________________________

Family size: ___________________ Business Size and Type: _________________

Do you own a home? __ yes   __no   Do you own a business in the area? __ yes    __no

Do you rent? __ yes  __ no

Check off the types of activities you would like to see /things you would like built at the waterfront- at various locations along the Kill van Kull, North Shore.

 
Activities/ Types of Uses                   Possible Locations/Comments

__ Promenade/walking paths     ___________________________________________________

__ Bicycle paths           __________________________________________________________

__ Lookout points          __________________________________________________________

__ Fishing                     __________________________________________________________

__ Canoeing/kayaking   __________________________________________________________

__ Marina for boats       __________________________________________________________

__ Environmental education classrooms _____________________________________________

__ Restaurants ________________________________________________________________

__ Art galleries ________________________________________________________________

__ Light rail      ________________________________________________________________

__ Fast Ferry    ________________________________________________________________

__ New School ________________________________________________________________

__ Other           ________________________________________________________________

 
What Quality of Life issues affect you? Please check any of the following issues:

__ Air quality; smells ____________________________________________________________

__ Noise pollution ______________________________________________________________

__ Garbage/Sanitation Issues ______________________________________________________

__ Drug activities _______________________________________________________________

__ Commercial Trucks using residential streets ________________________________________

__ High number of Junkyards/ Auto repair shops_______________________________________

__ Over-crowding of Schools ______________________________________________________

__ Over-Development ____________________________________________________________

__ Bad public transportation options _________________________________________________

Other __________________________________________________________________________

Please Print this page ~ fill out and mail to: 

North Shore Waterfront Conservancy of S.I., Inc.                                                                                                        P.O. Box 140502  Staten Island, N.Y.  10314

Thank you!