Illicit Discharge/Illicit Connection Report Form

If you see water pollution, witness any material spilled or dumped into a waterway, or observe conditions in a storm drain or stream that indicate a polluting activity has occurred, please report immediately! If the situation is an imminent threat to life or health, please call 911.


Illicit Discharge- Any discharge to an MS4 that is not entirely composed of stormwater. Illicit Connections- Illegal and/or unauthorized connections to the municipal separate stormwater system whether or not such connections result in discharges into that system.


Date of Discharge:*



Address:* If the address is unknown, please leave enough detail that our inspectors can locate the site.

What type of discharge are you reporting?*


Please provide a detailed description of the incident and what you observed at the location of the suspected discharge.*

Name:
Phone Number:
Email Address:*

If you have photos please submit them with this form. First choose a file by clicking the Choose File button. Once you have selected a file click the Add File button to add it to your submission.

(Allowed types: .gif, .jpg, .jpeg, .png)  (Maximum File Size: 5MB per image)



Added Files:
File Name


Enter the code shown:

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