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Shade Your Stream Intake Form
Thank you for your interest in Shade your Stream! Please fill out the following form and staff will be in touch.
Note on the form if you have an immediate or pressing concern.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Site Address
*
Location of stream concern if different than mailing address
Your answer
Special Directions to Access Site
Include any instructions needed beyond Google Maps
Your answer
Mailing Address
Your answer
Name of Stream
Your answer
Estimated Length of Erosion
*
Your answer
Description of Issue
*
Questions, Concerns, Extent of Problem
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Optional: Photo Submission
Examples of a site photo is shown below. Include as much of the stream as possible in the photo. If applicable, include photos of specific areas of concern. Photos can be emailed to kaila@mountainvalleysrcd.org
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