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The information received will be forwarded to the State Regional Office after our investigation is complete.
Thank you.
Yes
No
Do you wish to be contacted with the results of our investigation?
Provide Name and Address of Property Owner where dumping occurred (if known). Describe location, roads, and nearest City. Please be as specific as possible. Is the dump site visible from the road? Please include any landmarks such as buildings, streams, billboards etc. This will help us locate the dump site.
Yes
No
Are you aware if this waste has been buried on site
Describe Make, Model, Company or Logo or Licence Number if known. Also provide Name, Address, and Telephone of Company or Persons responsible for the illegal dumping (if known).
City/Town Dumping Occurred
Estimated Amounts
Household Trash
Construction or Demolition Waste
Barrels
Tires
Other
(describe below)
Type of Waste
Date Illegal Dumping Occurred
E-Mail
(optional)
Phone Number
(optional)
Address
(optional)
Thank you for taking time to report this information and help protect our environment.