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2. Clean City Projects Report Form

   Thank you for keeping our City clean & beautiful!  If you have bags of trash needing to be picked up, please list the location of the bags on this form.  If there are large items of trash/debris needing to be removed, call 757-727-1130.  Please note that trash bags cannot be tied to poles/signage or placed at the base of such.  The City's automated trucks must have access and enough clearance to pick up the bags.  Place your bags as close to a public curb as possible without preventing foot/vehicle traffic.  If you observe any hazardous waste materials, do not attempt to clear it yourself - call/text the Hampton Customer Contact Center at 757-727-8311 - or email 311@hampton.gov. 

   
   

   *All fields are required.

4. First & Last Name*
6. Email Address*
7. Phone Number*
9. Organization Name*
   If no organization, enter NA
11. Name of Spot Cleaned/Beautified/Improved*
13. Type of Project *

    1. Adopt-A-Spot (include special cleanups)
    2. Clean & Green Business Projects
    3. Community Garden Projects

    1. Beautification Projects (Bee City/YARDS)
    2. Recycling Projects
    3. Pollinator Projects

    1. School Pride in Action Projects
    2. Special Projects (Speakers Bureau, ad hoc committees, etc.)
    3. KAB Cigarette Litter Patrol
15. Date of Project*
16. Number of Participants*
17. How Long the Project Lasted*
    In hours
19. Number of Trash Bags Collected
20. Number of Cigarette Butts Collected
21. Bulk Debris (Large pieces of trash, tires, construction materials, etc.)
    Enter approximate amount (how much, volume, pickup truck load, etc.)
22. Number of Bags of Yard Waste Collected (leaves, weeds, etc.)
24. Plastic Bags Recycled (in pounds)
25. How Much Mulch Was Spread?
26. # of Flowers, Trees, Seedlings Planted
28. Description of Project

    If additional space is needed, use comments box below.

30. Additional Comments & Be Sure to Send Photos of Your Cleanup/Beautification Events to hccc@hampton.gov

    Please include the location and number of bags to be picked up (for example, at the c/o of Armistead & Settlers Landing; at the entrance of Gosnold's Hope Park, etc.).  Please allow 5-7 days for pickup.

    
    

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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field