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TCPWQ Polluter Reporting Form

2. REPORTING FORM
   Spilling, dumping, or discharging chemicals, dirt, debris, oil or other non-stormwater substances into county ditches, creeks, streams, curb drains, storm drains, or the River is a violation of federal, state, and local regulations. Allowing sediment or chemicals to wash off a construction site is also a violation. If you have witnessed an act that you feel is in violation of the Countywide Stormwater Ordinance, anywhere within the Tippecanoe County border, please report the activity to the Stormwater Quality Coordinator at (765) 423-9228. Or you can fill out and submit the form below and the information will be forwarded to the proper officials.
4. First Name
5. Last Name
7. Reply Email
9. Phone Number
11. Subject
13. Message
15. What type of violation did you observe?
    -- Select One --Accidental spill into a Stream, Drain, Ditch, etc.Intentional dumping into a Stream, Drain, Ditch, etc.Erosion problems on a Construction Site?Broken Septic SystemSuspicious pipe discharge into Stream, Drain, Ditch, etc.Other

    select the closest option
17. Check if you would like someone to contact you about this issue.

    1. YES, I would like to be contacted.
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field