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Water-Quality Complaint Investigation Request
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This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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Step One
Please use this form to report any of the following conditions that you see in a ditch, storm drain system or wetland area within unincorporated Snohomish County: vehicle fluids, paint, chemicals, soap/washwater, concrete or mortar, pesticides or fertilizer, excessive dirt or gravel, fats, oils, grease, animal waste, sewage spills, etc. You can also report information or request a water quality complaint investigation by calling the County’s Water Quality Hotline at 425-388-6481. 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.
YES, you MAY disclose my identity upon public inquiries regarding this complaint.
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.
Continue
Step Two
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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Step Three
Complainant Information:
*
Algae
Bacteria, bloom
Bacteria, rust
Carcass
Chemical, unknown
Drainage
Erosion, construction
Erosion, natural
Fats, oils and grease
Fertilizer, herb, pest
Fill
Flood
Foam
Gasoline
Haz. waste, business
Haz. waste, house
Manure
No site
None
Other
Paint
Petroleum, oil
Petroleum, other
Pool
Process wastewater
Requesting info.
Septic failure
Sewage
Soap or car wash
Solid waste
Street/lot waste
Vegetation
Water, ground
Water, potable
Please indicate the nature of non-emergency spill or discharge. Up to four conditions may be selected.
Date/Time Of Spill
Date/Time Of Spill
Date/Time Of Spill
Additional Spill Detail
Further describe the nature of the spill or discharge with as much detail as possible (i.e. where is it, when did it occur, is it ongoing, other witnesses, etc.).
Please keep in mind that the information above is public record.
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