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Village of Heron MS4 Stormwater Program ILLICIT DISCHARGE REPORT FORM Report Environmental Emergencies to Ohio EPA: (800) 282-9378 Date: Name: Email: Phone: What type of incident do you wish to report?
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How to fill out illicit discharge report form

How to fill out illicit discharge report form:
01
Start by obtaining the correct illicit discharge report form. You can typically find this form on your local government's website or at the environmental department.
02
Begin by providing your personal information in the designated sections. This may include your name, address, contact number, and any other required information.
03
Proceed to accurately describe the illicit discharge incident that you observed. Include details such as the date, time, and location of the discharge, as well as any relevant observations or evidence you may have.
04
Be sure to clearly state the type of discharge that occurred, whether it is chemical, sewage, stormwater runoff, or any other relevant category. Include any specific details about the discharge that you believe are important.
05
If you witnessed the illicit discharge, provide a detailed account of what you saw and heard. Include any information about individuals or vehicles involved, if known.
06
If possible, attach any supporting photographs, videos, or documents that may provide additional evidence or support your report. Make sure they are properly labeled and easily identifiable.
07
Review the completed form to ensure all necessary sections have been filled out correctly and accurately. Double-check for any errors or missing information.
08
Depending on the instructions provided, you may need to submit the form electronically, mail it, or drop it off at a designated location. Follow the specified submission process to ensure your report is received.
Who needs an illicit discharge report form:
01
Environmental agencies: Illicit discharge report forms are typically required by environmental agencies at various levels of government. This includes local, state, and federal entities responsible for protecting and managing the environment.
02
Concerned citizens: Any individual who witnesses or suspects an illicit discharge incident can utilize the illicit discharge report form to inform the appropriate authorities. This could be environmental enthusiasts, concerned residents, or environmental activists.
03
Environmental organizations: Non-profit organizations focusing on environmental conservation and protection may also require an illicit discharge report form for their members or volunteers to report any observed illicit discharges.
It is important to remember that the specific entities or individuals who need an illicit discharge report form may vary depending on the jurisdiction and local regulations. Therefore, it is advisable to consult with your local environmental department or agency to ensure you are using the correct form and following the appropriate reporting procedures.
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What is illicit discharge report form?
Illicit discharge report form is a document used to report any illegal or unauthorized release of pollutants into the environment, such as dumping of chemicals or pollutants into storm drains or waterways.
Who is required to file illicit discharge report form?
Anyone who has witnessed or has knowledge of illicit discharge activities is required to file an illicit discharge report form.
How to fill out illicit discharge report form?
To fill out an illicit discharge report form, one must provide details of the incident, including date, time, location, description of the discharge, and any supporting evidence.
What is the purpose of illicit discharge report form?
The purpose of the illicit discharge report form is to alert authorities to potential pollution incidents and ensure timely response and remediation.
What information must be reported on illicit discharge report form?
The illicit discharge report form must include details of the incident, such as date, time, location, description of discharge, and contact information of the person reporting.
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