This page is intended to allow you another method of transmitting your
North Carolina Big Sweep cleanup results to us. Instead of filling out your card
and mailing it, simply fill in our online form here and submit it to us.

Note: Online form submission will not work with browsers other
than Netscape or MSIE 4.0 or higher.

ITEMS COLLECTED

Fill in this form to send the results of your North Carolina Big Sweep collections along to us.
We appreciate your participation and support.

Plastic
ItemAmountItemAmount
Bags-Food, wrappers Fishing nets
Bags-Salt Hard hats
Bags-Trash Light sticks
Bags-Other bags Pieces
Bottles-Beverage, soda Pipe thread protector
Bottles-Bleach, cleaner Rope
Bottles-Milk/water gal. jugs Sheeting-Longer than 2 ft.
Bottles-Oil, lube Sheeting-Under 2 ft.
Bottles-Other bottles Six-pack holders
Buckets Strapping bands
Caps, lids Straws
Cigarette butts Syringes
Cigarette lighters Tampon applicators
Cups, utensils Toys
Diapers Vegetable sacks
Fishing line Write protection rings
Fishing lures, floats  

Other plastic (Specify type and amount)

Foamed Plastic
ItemAmountItemAmount
Buoys Meat trays 
Cups Packaging material 
Egg cartons Pieces 
Fast food containers Plates 

Other foamed plastic (Specify type and amount)

Glass
ItemAmountItemAmount
Bottles-Beverage Fluorescent light tubes 
Bottles-Food jars Light bulbs 
Bottles-Other bottles/jars Pieces 

Other glass (Specify type and amount)

Rubber
ItemAmountItemAmount
Balloons Gloves 
Condoms Tires 

Other rubber (Specify type and amount)

Metal
ItemAmountItemAmount
Bottle caps 55-gallon drums-Rusty
Cans-Aerosol 55-gallon drums-New
Cans-Beverage Pieces
Cans-Food Pull Tabs
Cans-Other Wire
Crab/lobster traps   

Other metal (Specify type and amount)

Paper
ItemAmountItemAmount
Bags Newspapers/magazines
Cardboard Pieces
Cartons Plates
Cups   

Other paper (Specify type and amount)

Wood
ItemAmountItemAmount
Crab/lobster traps Lumber 
Crates Pallets 

Other wood (Specify type and amount)

Cloth

Clothing/pieces

Dead, Live, and/or Entangled Animals

Please include type of animal, form of entangling debris, and any other comments.

Foreign Labels

Please list all items with foreign labels or other markings to help us identify the item's origin such as cruiseline names, military identification or debris with names and/or address of shipping, fishing, or oil/gas exploration companies. Please do not list items that are common to your local area, i.e. imported water or beer.

What was the most peculiar item you collected?

Comments/Observations during the cleanup:

Type of Waterway Cleaned:

 

INTERNATIONAL CLEANUP DATA CARD

Thank you for completing this data card. Answer the questions and send in this form by clicking on "Submit" at the bottom of this page. This form is not designed for international use; therefore, not all listings may apply to your area. Data collected since 1986 and analyzed by The Ocean Conservancy has been used in TOC's International Marine Debris Database and Cleanup Reports to help develop solutions to stopping the dumping of trash into marine/aquatic areas. By completing the selection below, you will be able to recieve this information.

Month:   Day:      Year:  
Name of Coordinator:
Zone Name/Location Cleaned:
Number of people working together on this card:
Estimated distance of shore cleaned:
Number of bags filled:
Total estimated weight:
Name:
Address:
City: State: Country: Zip Code:
Affiliation:
Occupation/Employer:

Phone      Age  

How did you hear about the Cleanup?  

Is this your first Cleanup event?   Yes    No
If no, how many years have you participated prior to this Cleanup?

Do you currently receive the International Coastal Cleanup newsletter, Coastal Connection?

Yes    No

If not, would you like to be placed on the mailing list?   Yes    No

Would you like to receive information on the Center for Marine Conservation and other ways to help protect our oceans and waterways?   Yes    No

 

 
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Please email us your comments.

Our statewide headquarters is:
North Carolina Big Sweep
P.O. Box 126
144 E. Vance Street
Zebulon, NC 27597
Phone: (919) 366-3888
Fax: (919) 366-3890