Name Address Zip Code Phone Number Email Address Date that discharge was discovered Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033 Time that discharge was discovered Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Date of last rain event Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033 Time of last rain event Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Estimated quantity of rain (in inches) Location of discharge Please indicate nearby street intersections, addresses, and/or landmarks for reference. Where was discharge found? Open Ditch Stream Pipe Outfall Other Was water flow observed? Yes No Was Flow Solid or Pulsing? Solid Pulsing Was a photo taken? Yes No Attach photo of discharge Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Odor description None Musty Sewage Sour Milk Other Color description Clear Red Yellow Brown Other Grey Clarity description Clear Cloudy Opaque Was there an oily sheen? Yes No Was there garbage or sewage? Yes No Additional information to assist in the investigation Leave this field blank