Thank you for your interest in the Town of Leesburg's storm drain marking program! We offer the opportunity to get out and get involved in your community by providing materials to inventory and mark storm sewer inlets with decals reminding the community that only rain should go in the storm drain. The Town provides adult safety vests, maps and checklists, and storm drain decals with adhesive discs. This is a great project for youth and community groups and can be done any time year round. If you have any questions, please email publicworks@leesburgva.gov or call 703-771-2790. Please provide the following information to get started:

1

Name of Volunteer or Group

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Name of Volunteer or Group

2

Contact Email

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Contact Email

3

What area/community do you plan to work in? (Must be inside the Town of Leesburg corporate limits - you may choose unknown if you would like to be assigned to an area.)

What area/community do you plan to work in? (Must be inside the Town of Leesburg corporate limits - you may choose unknown if you would like to be assigned to an area.)

4

How many adults and children will be participating? (The Town provides safety vests in adult sizes only)

How many adults and children will be participating? (The Town provides safety vests in adult sizes only)

5

When do you plan on doing this activity? (Please allow 2-3 business days to put together the maps and supplies)

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When do you plan on doing this activity? (Please allow 2-3 business days to put together the maps and supplies)

6

What date would you like to pick up the supplies and maps? (Town Hall is open from 8:30-5:00 Monday through Friday)

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What date would you like to pick up the supplies and maps? (Town Hall is open from 8:30-5:00 Monday through Friday)

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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