Goodlettsville, TN - Official Website

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Volunteer Stream Outfall Inventory Form

Leave This Blank:

Name of Creek:*
Section Inspected*
Name of Investigator(s):*
Date of inspection:*
Time of Day: Indicate AM or PM numbers only, no symbols):*
Outside Temperature (numbers only, no symbols): *
Rainfall in the Last 24 Hours (approximate inches, numbers only, no symbols): *
Upload Photos:
Number of Photos relating to this specific outfall (numbers only, no symbols):
Land Use Area:*
If Commercial or Industrial Use, Enter Entity's Name:
Origin of the Outfall (if known):
Location of the Outfall: *
Type of Outfall: *
Outfall Material: *
Is Outfall Submerged in Water:*
Is There Flow Present Coming from the Outfall?*
Is There an Odor Coming from the Outfall:*
Is There Coloration in the Discharge Coming from the Outfall?*
Is There Turbidity Coming from the Outfall:*
Are There Floatables Coming from the Outfall (does not include trash):*
Is There Damage to the Outfall:*
Are There Deposits or Stains Seen at the Outfall Site: *
Is There Abnormal Vegetation Seen at the Outfall Site:*
Is There Pooled Water at the Outfall Site:*
What is the Overall Harmful Potential of Discharge Coming from the Outfall:*
Overall Harmful Potential to Creek (List Comments):
Additional Description(s) and Information Concerns:
Have any complaints against this outfall been documened via the hotline number?*
Document any follow-up monitoring information at each outfall site where an illicit discharge was discovered:

* indicates required fields.

105 South Main Street, Goodlettsville, TN 37072