Illegal Dumping Complaint Form

Turn In Dumping Easily

If you see illegal dumping or know of a spot that needs to be cleaned up, please submit this form:

Name (optional):

Address (optional):

City:

Zip:

Phone (optional):

Email (optional):

Date you observed the dumping:

Type of Waste:

Household TrashConstruction or Demolition waste (lumber, shingles, etc.)TiresBarrelsOther (describe below)

Estimate the amount of Waste

Number of Bags:

Number of Pickup Loads:

Number of Dump Truck Loads:

Number of Tires:

Township (if known):

City:

Describe the dump in your own words. If you observed the vehicle that was used by the dumper(s), describe its make, model, company or personal logo and all or part of the license number if known.

Has the waste been burned on this site? YesNo

Describe location of dump site from nearest town and road intersection. Be as specific as possible, including the distance from road and whether the dump site is visible from the road. Describe landmarks such as nearby streams, buildings and roads to help locate the dumpsite.

Provide the name, address and telephone number of property owner, if known.

Provide the name, address and telephone number of person or company you believe is responsible for the illegal dumping, if known.

Do you wish to be notified as to the outcome of our investigation? YesNo

This information will be investigated locally and turned to over to the DNR regional field office if necessary.

Comments:

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