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Step One

Please use this form for filing water-quality complaint investigation requests regarding concerns that are within unincorporated Snohomish County. Please report any of the following conditions that you see in a ditch, storm drain system or any wetland area: vehicle fluids, paint, chemicals, soap/washwater, concrete or mortar, pesticides or fertilizer, excessive dirt or gravel, fats, oils, grease, animal waste, sewage spills, etc. IF THIS IS A HAZARDOUS MATERIALS SPILL, PLEASE CALL 911 IMMEDIATELY.
Disclosure Choice
Under Chapter 42.56.240 R.C.W., the Public Disclosure Law, you as complainant may indicate a preference for disclosure or non-disclosure of your name to inquiries from the public. If you choose to keep your name confidential, the complainant information will not be revealed. However, if this case is filed in court and if you are to be a witness in this case, your name MUST be disclosed.
1. YES, you MAY disclose my identity upon public inquiries regarding this complaint.
2. NO, you MAY NOT disclose my identity upon public inquiries regarding this complaint without my permission.
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Home Phone*
Work Phone
Email
Note: Your Phone and Email Address will only be used to clarify complaint details, if necessary.
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Responsible Party: (if known)
First Name
Last Name
Company Name
Phone Number
Location Information: Where did the spill or discharge happen?
Address
City
Parcel Number (if known)
Additional Location Information
Please describe as specifically as possible where the condition is located.
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