Watershed Survey Data Form
Please e-mail, fax, or mail completed form to Gwinnett Clean & Beautiful
Email: gwinnettcb@gwinnettcb.org, Fax: (770) 822-5179
4300 Satellite Boulevard, Duluth, GA, 30096
Directions
Use the forms to score each street you survey individually.
1. Land Use
Look for what types of buildings or uses of land are along the street. For every building
you see, as best you can, place it in one of the categories listed below and write a tally
mark for each building on the Land Use Data Chart.
a. Automotive- auto repair shops (ex.Jiffy Lube) or car dealerships
b. Agricultural- farm area with crops, horses, or cows
c. Food Services- restaurants and fast food
d. Government- city hall, courthouse, public works, etc.
e. Industrial- manufacturing, recycling, warehouses
f. Offices- business offices, doctors offices, realtor offices
g. Recreation- parks, gyms, bowling, golf
h. Retail- shopping centers, stores, or malls
i. Residential- houses, neighborhoods, or apartment complexes
j. Schools- public or private schools (does not include daycares)
k. Other- for a use that does not fit in these categories, write it in the Notes section
2. Water Impacts
For this section, mark an X in the blanks provided to provide data for the following
scenarios.
a. LITTER- Look for any trash or items dumped along the roadside the overall
amount you see for that entire road stretch based on this scale:
i. Minimal/no litter- you see only maybe 1-2 pieces of trash, but mostly
clean
ii. Slightly Littered- you see several scattered pieces of trash
iii. Littered- you see a piece of trash or small piles every few feet
iv. Extremely Littered- you see several large items and piles of trash
b. STORM DRAIN- Look at the storm drains on the side of the road to see if there is
anything in the drain hole. Mark an X if there is any litter or pinestraw/leaf debris
stuck in the hole, or if the storm drain is clean
c. Features- Mark an X if you see a bridge, ditch, or signs of erosion anywhere on
or along the sides of that road
d. NOTES- Make a note of anything unusual you see that you think could be
important to the health of the watershed.
Watershed Survey Data Form Cont…
LAND USE DATA CHART
Land Use
Ag
ric u
ltu
ral
F oo
dS
er v
i ce
s
Go
ve r
nm
ent
I nd
ust
r ia
l
Of f
i ce
s
Re
si d
ent
ial
Re
tail
Road Name
#
O th
er
l
oo
Sch
Au
tom
oti
ve
#
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
Road Name
Mi
n
2-S /No L
l igh
itte
3-L tly Li r
tte
itte
red
4-E r ed
xtr
e
Sto mel y
rm
Li t
Li tt D rai n tered
er
Cle
i
De n Dra an
bri
s in i n
Bri
dge Dr ain
Dr a cros
sin
ina
g
g
e
Er o
Di t
si o
ch
n
1-
WATER IMPACTS DATA
#
1
2
3
4
5
6
7
8
9
10
11
12
Watershed Survey Data Form Cont…
Road Name
Litter
Storm Drain Features
Notes
Watershed Survey Summary Form
Please e-mail, fax, or mail completed form to Gwinnett Clean & Beautiful
Email: gwinnettcb@gwinnettcb.org, Fax: (770) 822-5179
4300 Satellite Boulevard, Duluth, GA, 30096
Watershed: ________________________ Group Leader: ______________________
Phone: ____________________________ E-mail: ____________________________
Group Name: __________________________________________________________
Date of survey: _____________________ Time of day of survey: _______________
Today’s Weather (circle all that apply): Clear/Sunny
Partly Cloudy
Short Rain Showers Steady Rainfall
Overcast
Heavy Rainfall
1. Write in all the road names that your group surveyed. There should only be one listing per
individual road.
2. LAND USE- For each category listing for each road, average the surveyors results.
Example:
a. Add the total # of Agricultural land use tally marks made for Rd #1. Surveyor A saw
2, Surveyor B saw and Surveyor C saw none.
b. Total Rd#1-Agricultural= 3
c. Divide the total by the # of surveyors.
d. 3 Agricultural / 3 surveyors= Avg of 3 for Rd #1-Agricultural
e. After you have averaged the results for all the roads in the Agricultural section, add
the total for all the streets surveyed at the bottom.
3. LITTER- Average the Litter Scores for each road.
Example:
a. For Rd#1, Surveyor A & B rated it a 2 for Slightly Littered while Surveyor C rated it a
1 for Minimal/No Litter.
b. Add the scores: 2+2+1= 5.
c. Divide by the # of surveyors: 5/3= about 1.7 Litter Score for Rd #1
4. STORM DRAIN- If litter or debris was seen in storm drains along the road, add up all
sightings tallied for the road. Write the number in the boxes provided.
Example:
a. For Rd#1, Surveyor A wrote tally marks for 3 observations of litter in storm drains
and 1 of debris. Surveyor B saw 2 with litter and 1 debris. Surveyor C saw 2 with litter
and 2 with debris.
b. Add the total numbers for litter: 3+2+2= 7 Total Litter observations for Rd#1
c. Add the total numbers for debris: 1+1+2= 4 Total Debris observations for Rd#1
5. - If there is a bridge present on this road, write “YES,” and if not write “NO.”
tom
#
1
2
3
4
5
6
7
8
9
10
11
12
TOTAL in
WATERSHED
Comments:
Ag otive
ric
Foo ultur
al
dS
er v
Go
ver i ces
nm
en
I nd
ust t
r
Off ial
i ce
s
Re
si d
ent
i
Re al
tail
Sch
oo
l
Ot
h
Li tt er
er
Sco
Li tt
re
er
De Obse
bri
rve
s
d
Bri Obse
dge
rve
d
Dr a cros
s
ing
ina
Er o ge Di
tch
si o
n
Au
Watershed Survey Summary Form Cont…
Road Name
Land Use
Litter
Storm
Drain
Features