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2. 
   
   

3. Have you witnessed unauthorized dumping into city storm drains, streets, or waterways? Please let us know!

   
   
5. Incident Information
   Please describe incident/substance dumped:*
7. Location of Incident - Closest intersection/street address/other (landmarks, businesses, etc):*
9. Date of Incident:*
11. Time of incident (if known)
13. Dumping occurred into:*
    -- Select One --Catch basin/storm sewer/grateGutter/street Waterbody (lake, pond, wetland)Other (please describe in comments)
15. What was the appearance of the spill/waterbody?*
    -- Select One --NormalOilyCloudySudsyOther (please describe in comments)
17. Did you observe any floatables/ solids?
    -- Select One --NoneGarbage/trashSewageOther (please describe in comments)
19. Was the violator observed/known?*

    1. Yes
    2. No
21. Name/address of violator (if known):
23. Photograph:
25. 
    
27. We need to know how we may contact you in case we need to clarify your report. Thank you!
29. Preferred contact method:
    -- Select One --EmailTelephone
31. Your Name:*
33. Your Address:
35. City:
37. State:
39. Zip:
41. Phone Number:*
43. Email Address:
45. 
    
47. Your identifying information collected via this form will not be used by any other purposes other than the investigation of this report. All information you provide will be kept confidential. Violators will not be informed of reporters identity.

    Please add as much information as you feel would be helpful in assisting us to locate and identify this problem as soon as possible.
49. Thank you for using this service! The Stormwater Division appreciates all citizen assistance in keeping our city and watershed clean and safe for everyone.
51. If you feel that this is an emergency, please call our Spill Reporting Hotline at (509) 764-3792 during business hours (Monday through Friday 7:30 a.m. to 4 p.m.), or dial 911 after business hours or on weekends or holidays
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53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

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