CWTA - Illegal Dumping Report Form - Still River

Connecticut Water Trails Association

Table Of Contents Water Trail Reports

Connecticut Water Trails Program

Illegal Dumping Report Form

Still River - Fairfield County

Please give us all of the information requested. Your personal information will not be shared with anyone - it is for our use in case we need to contact you

Reporters Name:

Email Address:

Phone:

Location Info:

Section Of The River:

Nearest Street Address:

Town:

State: Zip Code:

Coordinates:

Latitude:

Longitude:

Reporter's Observations

Date Of Report:

Select The Reason For Your Report

I saw dumping activity

I already reported - still not taken care of

Select The Type Of Dumping You Are Reporting:

(check all that apply)

Abandoned Vehicles

Household Garbage

Liquid Dumping / Discharge

Hazardous Materials

Yard Waste

Construction Debris

Dead Animals

Other (Describe below)

Did you observe any person(s) or vehicle involved in the dumping activity?

Yes No

Please Describe:

Did You See A Vehicle:

Yes No

Please Describe Vehicle:

License Plate Number:

State:

Contact The Connecticut Water Trails Association