Items marked with* are required:
Name (Optional):
Contact info (E-mail or Phone):
May We Contact You?* YesNo
Date of Observation: Month* SelectJanFebMarAprMayJuneJulyAugSepOctNovDec Day* Select12345678910111213141516171819202122232425262728293031 Year* Select20112012201320142015
Approximate Time of Observation: * Select6am7am8am9am10am11amNoon1pm2pm3pm4pm5pm6pm7pm8pm9pm10pm11pmMidnight1am2am3am4am5am
Weather and environmental information:* RainingPost RainSnowingSnow MeltSunnyWarmOther
Name of stream or creek:* Bird CreekCampbell CreekChester CreekEagle RiverEklutna RiverFish CreekFurrow CreekGlacier CreekIndian CreekLittle Campbell CreekMcHugh CreekPeters CreekPotter CreekRabbit CreekShip CreekOther
Location of observation (please identify as close as possible using GPS, streets, address, trail, or other information):*
Condition of creek water: MuddyClearFoamingOther
Short description of the creek bank and immediate area (i.e. no vegetation, loose dirt, lawn, park, adjacent to residential back yards, light industrial or business area):
Type of observation:
Culvert or pipe problem (broken, hanging, exposed thaw wires, crushed, etc.):
Garbage or debris:
Polluting agent (i.e. oil):
Other Information:
Additional Comments: