Pollution Report

Please fill in the following information and submit. If you have any additional questions or would like more information contact
Frank Tursi, an assistant director, at 252-393-8185.

* Required Fields

First Name*	A value is required.
Last Name*	A value is required.
Day Phone
E-mail*	A value is required.Invalid format.
Anonymity Requested*	Yes No Please select an item.
Location*	A value is required.
Type of Incident (check all that apply)	Fish Kill Other Wildlife Sewage Industrial Discharge Chemical/Oil Spill Illegal Fill Dredging/Dumping Tanker Other If Other, please describe
Type of Problem*	Urgent/Emergency Chronic Background Info Please select an item.
Describe how incident was discovered
Are photos/videos available?	Yes No
Suspected Source(s)
Agencies Contacted
How did you hear about us?*	A value is required.
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