Report an Environmental Problem

Select the type of problem that you are reporting.

BRIEFLY DESCRIBE YOUR REQUEST IN THE SPACE PROVIDED.

PLEASE BE AS SPECIFIC AS POSSIBLE.
EXAMPLE: THERE IS A VEHICLE, GREEN CHEVROLET TRUCK, PARKED IN THE STREET NEAR MY HOUSE. IT HAS NOT BEEN MOVED FOR OVER THREE MONTHS.

Situation

ENTER THE ADDRESS OR LOCATION AS WELL AS THE NEAREST INTERSECTION OF THE PROBLEM THAT YOU ARE REPORTING IN THE SPACE PROVIDED.

EXAMPLE: NEAR 999 HILL DRIVE. THE CLOSEST INTERSECTION IS HILL DRIVE AND OAK DRIVE.

Location

Street #

Suffix

Street Name

Suite #

The information below is REQUIRED. You must provide this information so that we may contact you in case more information is needed. Any information submitted will be held in the strictest of confidence. However, once the case is closed the information provided will become public record. You may check the status of your request by calling 251-574-7867. You must provide your email address to use the online form.

First Name

Last Name

Street #

Street Name

City

State

Zip

Home Phone

Work Phone

Cellular Phone