Mountain Watershed Association

Report Patrol Events and Watershed Impacts

This form is used by our Youghiogheny Riverkeeper Patrol to report patrol instances, and by members of the public wishing to report stream impacts.

All information will be kept confidential. Please provide as much information as possible.

Your Name:
Today's Date:
Email:
Phone:
Water Body Patrolled:
Date of Patrol:
Duration of Patrol:
Area covered: (Approximate river or shoreline miles, distance paddled, biked, driven or walked):

Did you notice any stream impacts?
If no, please scroll to the bottom of this page to submit this form. If yes, please provide us with the following information:
Please provide a detailed description of the location of the problem, including roadways and other relevant landmarks:

Conditions (please include weather conditions and estimated water level: high, low, normal flow):

Please describe what you observed (streambank erosion, illegal dumping, water pollution, etc.):

Suspected Cause or Polluter:
Have you seen this before:
If so, when and for how long?
Do you have any pictures?
If so, are you willing to submit them if contacted?
Have you notified any regulatory bodies?
If so, who?
Additional comments or information:

After you press 'Submit,' the data will be relayed and this form will reset.
Please use the link at the top of the page to return to MWA's website.

Thank you for helping us protect water quality in the Youghiogheny River watershed!
To support our efforts, please consider becoming a member of the
Mountain Watershed Association, home of the Youghiogheny Riverkeeper!