Knox County Adopt-A-Road Cleanup Notification
Please fill out this form before every litter pick-up. The information from this form helps to secure grant funding for the Adotp-A-Road Program. For questions filling out this form please contact email@example.com or call the Adopt-A-Road Coordinator at 865-215-5644 or the Solid Waste Information Line at 865-215-8565
Adopted road name:
Primary contact person's name (coordinates with Knox County Solid Waste for supplies and reporting):
Primary contact person's email (coordinates with Knox County Solid Waste for supplies and reporting):
Tentative date for cleanup:
Number of people expected:
Support needed (check all that apply, specify quantity below):
traffic safety roadsigns
Request for Knox County Litter Crew to come get bags from the stretch of road we clean.
Plan to drop off bags at a Knox County Convenience Center
Comments (please specify quantities or detailed request for supplies/support here):
How would you like to get the supplies? We can leave them at our office for you to pick up (preferred) or we can deliver them to an address (make sure you specify the address or other instructions).
Do Not Fill This Out