Section 1 of 1 in this document
Adopt-A-Drain Field Datasheet
Individual/Group Name:
*
Number of Participants:
*
Date:
Project Hours: ( E.g. 10:45 - 12:00pm)
*
Storm Drain Name:
*
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Storm Drain Marker on Drain:
Yes
No
Odor:
None
Chemical
Gasoline/Oil
Organic/Musky
Sewage/Rotten Eggs
Blockage:
None
Dirt/Sediment
Trash
Woody Debris
Yard Waste/Leaves
If present, was blockage removed:
Yes
No
If blockage was not removed, was 3-1-1 called:
Yes
No
Damage:
None
Structural Damage
Missing grate
Cracks or broken cement
Additional information:
Questions? Contact
STW-Volunteers@MeckNC.gov
.
disregard this