Illicit Discharge Form

Subject

Your Name (required)

Your Email (required)

Your Phone Number(required)

Today's Date

Time Discharge Discovered:

Date of Last Rain Event:

Estimated Quantity of Rain
inches

Location of Discharge

Where was discharge found?
Open DitchStreamPipe Outfall
other?

Was Water Flow Observed?
YesNo

Was Water Flow Solid or Pulsing?
YesNo

Was a Photo Taken?
YesNo

Upload photo here:

Odor
NoneMustySewageRotten EggsSour Milk
other odor?

Color
ClearRedYellowBrownGreenGray
other color?

Clarity
ClearCloudyOpaque

Was There an Oily Sheen?
YesNo

Was There Garbage/Sewage?
YesNo

Additional Information to Assist in the Investigation: