Report of Illicit Discharge Name First Last First and Last NameEmail Enter a valid email address if you desire to be contacted regarding your reportContact Phone NumberContact Phone NumberDate* MM slash DD slash YYYY Date of ReportTime of Report or Occurence* : Hours Minutes AM PM AM/PM Time of Report or OccurenceIncident Location*Incident LocationIncident Location or General Description*Incident Location or General DescriptionPrimary Location Description* Stream Corridor (in or adjacent to stream) Upland Area (land not adjacent to stream) Primary Location DescriptionSecondary Location Description* Outfall Near Storm Drain In-Stream Flow Along Banks Near Other Water Source (stormwater pond, wetland, etc.) Other Secondary Location DescriptionUpland Problem Indicator Description* Dumping Wash Water / Suds Oils / Solvents / Chemicals Seweage Other Upland Problem Indicator DescriptionStream Corridor Problem Indicator Description: ODOR*Stream Corridor Problem Indicator Description: ODORStream Corridor Problem Indicator Description: APPEARANCE*Stream Corridor Problem Indicator Description: APPEARANCEStream Corridor Problem Indicator Description: FLOATABLES*Stream Corridor Problem Indicator Description: FLOATABLESNarrative Description of Problem Indicators (Please explain if OTHER was selected as an answer to any questions above)*Narrative Description of Problem Indicators (Please explain if OTHER was selected as an answer to any questions above)Suspected Violator (name, personal or vehicle description, license plate #, etc.)*Suspected Violator (name, personal or vehicle description, license plate #, etc.)Photo of Illicit Discharge Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB. Photo of Illicit DischargeCAPTCHA Δ Stormwater Department Stormwater Department Overview Stormwater Utility Tax FAQs Learn About Stormwater Stormwater News Stream Team Useful Documents Stormwater Advisory Committee
