Forms • River Falls, WI • CivicEngage

Adopt A Pond Report Form

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Pond Group Name:*
Pond Location:
Date of Work Day:*
Number of Participants:*
Total Hours Worked:*
Number of Trash Bags Filled:
Garbage and debris picked up*
Cleaned bird houses out (if applicable)*
Evidence of yard waste dumping*
Evidence of encroachment on pond property (ex. parked trailers, gardens, mowing, etc.)*
Erosion is visible in pond area*
Pipe(s) or outlet structures are clogged*
Evidence of animal burrows*
Large debris exists that City crews need to remove*
Preferred Contact Method:
Contact Information:*
Please describe any work you feel the City needs to address at this pond or any other observations/concerns you have from your clean up:
Photograph:

* indicates required fields.