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Charlotte-Mecklenburg Storm Water Services


Adopt-A-Stream Field Data Sheet

Contact Name

Date of Cleanup:

Date Picker

Start Time

Date Picker

End Time

Date Picker

Physical Stream Data (check all that apply)

To assist in completing this field data sheet, use the Stream Survey Category Descriptions.

Water Appearance


*If your group sees a sewage overflow
please call 311 immediately
so we can fix the problem in a timely manner.*

Stream Cleanup Data

Has the trash/debris been disposed of?

Did any waders leak? (please put the leaky wader(s) in a trash bag, so we can repair or replace)

Did you notice any problems with your Adopt-A-Stream sign? (please take a photo & upload it)

Upload Photo(s)

Click Here to Upload

Chemical Test Kit Results

Questions? Contact

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