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Illicit Discharge Reporting Form

  1. Provide the date and approximate time that the illicit discharge was detected.

  2. Describe where the illicit discharge is located.

  3. Provide a description of the detection with any information that would aid Town staff in addressing and correcting the illicit discharge.

  4. Do You Wish To Be Contacted Regarding This Report?

      If so, please check the box and provide your contact information. 

      If you wish to remain anonymous, please leave these fields blank.

    1. Leave This Blank:

    2. This field is not part of the form submission.