Charlotte-Mecklenburg Storm Water Services

STW-Volunteers@MeckNC.gov

Adopt-A-Stream Field Data Sheet

Group Name

Contact Phone Number

Date of Cleanup:

Stream Name

Number of Volunteers

Start Time

End Time

Start Location

End Location

Physical Stream Data (check all that apply)

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

Water Appearance

Clear

Oily

Milky

Foamy

Grey/Black

Green/Algae

Muddy Brown/Orange

Odor

None

Gas/Oil

Chemical

Musky/Organic

Rotten Eggs (Sewage)*

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

Please describe the 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 in pounds)

Estimated Number of Bags?

Please give a brief description of the type of trash/debris collected.

Has the trash/debris been disposed of?

Yes - Awesome! Thanks for taking care it.

No - Please indicate the location of the trash below. If you are in the City of Charlotte, please call 3-1-1 to submit a trash pickup and say that it is for the Adopt-A-Stream Program.

If no, please tell us the location(s) for Solid Waste to pickup. Please be as specific as possible and leave beside a roadway (Solid Waste cannot pickup bags/items left near a stream or greenway!)

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

Yes

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

Yes

Upload Photo(s)

Click Here to Upload

How did your group hear about our volunteer programs?

Questions? Contact STW-Volunteers@MeckNC.gov.