Please submit your pollution report using the form below, making sure to accurately and thoroughly enter data into each field. If you have already submitted a pollution report to a government agency, please make sure to include the date of the pollution report, the responding agency, and the tracking number for your complaint. If you wish to submit a pollution report to a government agency, please refer to the page titled, "Where Else Can I Submit A Pollution Report?" to find contact information for the responsible agency. Users who submit intentionally-inaccurate, false or frivolous reports will be blocked from this website. Thank you for your vigilance and commitment to clean water. For further questions or concerns, please contact David Flores at 443-908-0696 or dflores@bluewaterbaltimore.org

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Description *

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Date

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Pollution Source *

County Location of Incident * (Private)

Date of Initial Pollution Sighting *

Date of Follow-Up Pollution Sighting (If Applicable)

Date of Pollution Reporting to Agency (If Applicable)

Agencies Receiving Pollution Report (Check all that apply)

Please Specify Agency Contact(s) and Complaint Tracking Numbers (If Applicable)

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Optional Information

First Name

Last Name

Email

* Search for your location using a location name OR latitude,longitude coordinates (format: 38.19, 85.61), OR click on the map to pinpoint the correct location..

Location Name *
Example: Corner of City Market, 5th Street & 4th Avenue, Johannesburg

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