Water Pollution Complaint Form

About The Water Pollution Complaint Form
The City of Lebanon provides this service to allow concerned citizens to file reports of pollutant discharges to the city's creeks, rivers, lakes, and storm-sewer system.

Information About the Alleged ViolationDate

Time

Property Owner

Street Address

Name of Alleged Violator

Address of Alleged Violator

Phone of Alleged Violator

Description of the Problem

Vehicle Information (if involved)License Plate Number

License Plate State

Make

Model

Color

Your InformationName:

Address:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:

     

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