LOGANSPORT UTILITIES WASTEWATER DISCHARGE/CONSTRUCTION STORMWATER RUN-OFF INCIDENT REPORT FORM

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This form is to notify the Logansport Utilities Water Renewal Center (formerly the wastewater treatment plant) of a wastewater discharge / or a construction site stormwater run-off incident. For a more immediate response, please call 574-753-6231 and select the correct phone prompt. The inbox for these online reports are checked less frequently through out business hours, Monday through Friday, 7:00 a.m. to 4:00 p.m. Thank you.

Date *

YYYY

Time *

Time

Location / address or nearest address if available / or landmark of where incident occurred:
*

Description of incident, including suspected violator if known:
*

Your first and last name:
*

Your phone number:

Your email: *

Any additional information:

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