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Adopt-A-Stream Field Data Sheet

Group Name:
Date:
Contact Name:*
Email:*
Phone:
Number of Volunteers:
Beginning Time:
Ending Time:
Stream:
Beginning Point:
Ending Point:

* required fields

Physical Stream Data (Check all that apply)
WATER APPEARANCE:
clear
muddy
grey/black
green/algae
oily
foamy
scummy
other
STREAM BOTTOM:
rocky
sandy
silty
other
STREAM BANK:
large trees
small trees/brush
weeds/plants
rip-rap (rock)
exposed soil
other
ODOR:
none
musky/organic
rotten eggs (sewage)
chemical
gas/oil
other
Please describe condition and location of any existing or potential water pollution problems (severe bank erosion, clear/discolored discharge from any pipes, accumulation of grass clippings/leaves from yards, unstable and/or missing sanitary sewer line supports, etc.)
 
Stream Cleanup Data
Amount of Trash/Debris collected:
estimated # pounds
estimated # bags
Percent of the total volume collected:  
Trash (%)
Green Waste (%)
Gravel(%)
Sediment (%)
Brief description of any other Trash/Debris collected:
(example: tires, metal, etc.)
Status of Bagged/Collected Trash/Debris:
trash/debris has been
disposed of
trash/debris has not been disposed of
location(s) of trash/debris
   
Storm Drain Stenciling Data  
# of storm drains stenciled
Clogged or cracked storm drains (street address)
List streets stenciled