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Storm Drain Reporting
Let us know how you are making a difference by reporting each time you help clean up the storm drain!
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* Indicates required question
Your First Name:
Your answer
Your Email:
*
Your answer
Date You Cleaned
*
MM
/
DD
/
YYYY
Street Address (i.e., 123 Main St)
*
Your answer
Zip Code
*
Your answer
What is the condition of the storm drain?
Good (sturdy and well maintained)
Fair (some erosion around drain, infrastructure/cement shows some signs of wear)
Poor (highly eroded around drain, metal broken or cracked, infrastructure is damaged)
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When you cleaned the storm drain and gutter how much blockage from litter/debris was there?
Minimal (0-25% covered with litter/debris)
Partial (26-50% covered with litter/debris)
Significant (51-75% covered with litter/debris)
Blocked (76-100% covered with litter/debris)
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What items did you remove from or around the storm drain? (CHECK ALL THAT APPLY)
*
Grass clippings
Leaves
Sand or dirt sediment
Excess winter salt
Litter (i.e., plastic bottles, cans, glass, food wrappers, plastic bags, cigarette butts...)
Other:
Required
Did you detect any evidence of illegal dumping (i.e., fluids such as paint, oil, household chemicals, or unusual odors) in or around the drain?
Yes
No
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