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Adopt-a-Stream Application

  1. City of Alcoa Program Contact
    Andrew Sonner, P.E.
    725 Universal St
    Alcoa, TN 37701
    Phone: 865-380-4806
    Fax: 865-380-4803
  2. COA logo color w text transparent.gif
  3. (Two Required)
  4. Designated Representative Agreement*
    The work will be performed under and in accordance with the General Program Conditions and Safety Guidelines both attached to this application and incorporated herein by reference.

    Applications to whom an Adopt-A-Stream Program Designation and Agreement are issued shall at all times indemnify and save harmless the City of Alcoa, and all employees, agents and officers, from responsibility, damage, or liability arising from the exercise of the privileges granted under designated programs. The Program Designation and Agreement may be terminated by the City of Alcoa at any time. The City of Alcoa reserves the right to revise or discontinue the Adopt-A-Stream Program at any time.

    As a designated representative I have read, understand and shall comply with the Adopt-A-Stream general program conditions and safety guidelines regarding participation in the program.
  5. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  7. This field is not part of the form submission.