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Report Illegal Dumping or Illicit Discharge

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This form has been modified since it was saved. Please review all fields before submitting.

Type of Discharge*
1. Animal Waste
2. Detergent or Wash Water
3. Garbage
1. Industrial Waste
2. Leaf Litter or Yard Waste
3. Oil (cooking or petroleum)
1. Untreated Sewage
2. Vehicle Fluids
3. Other Issue
Contact Name*
Contact Phone Number*
Contact Email*
Location of Issue Being Reported*
Brief Description of Issue and Specifics*
Responsible Party*
Date of Occurrence*
Date of Occurrence
Date of Occurrence