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2. Date of Complaint:
   Date of Complaint:

   Date of Complaint:
4. Contact Information

   Please note, if you chose to report anonymously, you will not be contacted with follow up information.  If you wish to be updated on the complaint, please include your contact information. 

6. First Name*

   If you wish to report anonymously,  type Anonymous in this line

7. Last Name*

   If you wish to report anonymously,  type Anonymous in this line

9. Email Address
11. Phone Number
13. Address
15. City
16. State
17. Zip Code
19. Complaint Category*

    1. Illegal Dumping (substances entering waterways, storm drains, creeks or ponds)
    2. Water Quality Concern (strange smell, suds, dead fish, sheen or color in waterways)
    3. Erosion or Sediment (construction or non-construction)
    4. Failing Infrastructure (broken pipes, blocked storm drains, street flooding)
    5. Emptying of Pool Water into Storm Drain
    6. Pet Waste or Yard Debris left near storm drain, ditch, stream or lake
    7. Other

    Please select all that apply to your current concern.

21. If you selected Other, please tell us more
23. Name of Neighborhood or Subdivision if applicable:
25. Address*

    Location of the issue.  

27. City*
28. State*
29. Zip Code*
31. Detailed Description of the Stormwater Complaint:*

    Please tell us details about the issue. 

33. Photo Upload

    If you have photos of the issue/concern, please include them here. 

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field