The document outlines foundation actions to address threats to public health from bacteria in a river, reduce land-based impacts from stormwater runoff, and improve habitat for fish and aquatic life. It identifies focusing on hot spots for bacteria, managing pet waste and waterfowl, repairing sewers, using green infrastructure to reduce stormwater impacts, restoring floodplains, controlling phosphorus from sources like fertilizers, identifying riparian buffer opportunities, and reducing salt use. It also recommends removing concrete channels, barriers to fish passage, and invasive species to improve habitat, while enhancing access for citizens. Next steps include applying the analysis to more subwatersheds and identifying priority projects for implementation.