Stormwater Pollution Complaint Form

ONLINE STORMWATER COMPLAINT REPORTING
Discharges Into Storm Drains, Streets, Culverts, Rivers, Creeks, etc.
Storm drains in streets and parking lots flow directly to streams, rivers, lakes and the ocean without any type of treatment.

No one is allowed to dump waste of any kind onto street surfaces, drainage pipes and ditches, or into storm drains–they are only for rainwater.

If you see someone dump anything onto street surfaces, into storm drains, or into any other device built to contain rainfall or runoff, please report it by calling 919-807-6363 or use the form below. Nights and weekends please call 1-877-623-6748. If you see evidence of dumping, but did not see the act, please report the location. Your complaint will be forwarded to stormwater officials for investigation.

To report an emergency, call 911.
Do not use this form to report an emergency.

Please provide as much information as possible to help officials proceed with an investigation.
All personal information is kept confidential.

Your Name (optional)
Your E-mail Address (optional)
Your Phone (optional)
Your Address (optional)

Location of suspected Discharge:
County
City
Street Address
Nearest Cross Street
County
Name of Water Body
Point on Water Body (e.g. nearest roadway, landmark, bouy, GPS location, boat ramp etc.)


Date (mm/dd/yy) and time (am/pm) problem first noticed:

Does problem occur on a regular basis?	No Yes
If Yes, when?

Please list attributes that apply. The water is	Foamy Discolored Smells Filled with debris
	Dead fish are present

Was a commercial vehicle involved? No Yes
If Yes, what was the company name or license plate number on the vehicle?
Company Name
License Plate (State / Number)

Was a commercial facility involved? No Yes
If yes, what was the name of the company?

Please provide additional information concerning your complaint below:

NCDENR, Division of Water Quality

1617 Mail Service Center, Raleigh, NC 27699-1617 (919) 807-6363 Fax 919-807-6494

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