2. City of St. Pete Beach Storm Drain Collection

4. Todays Date*
   Todays Date
6. First Name
7. Last Name
9. How many storm drains did you clean?*
10. Please provide your drain ID number below.*
12. Approximately how much time did you spend cleaning your drain(s)? Please include transportation time to and from your site in this number. *
14. Are you stormdrain(s) marked?*

    1. Yes, all of them
    2. Only some of them
    3. No
16. If you have any questions, comments or concerns, please let us know in the space below. You can also use this space to let us know if your storm drains need to be marked with storm drain markers, if you have reported illegal dumping, submitted a SeeClickFix or other request for maintenance/repair of your adopted drain(s), or shared information with a friend/neighbor. Thank you so much for your time and effort to help protect our local water resources!
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field