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2. Brazos County Stormwater Quality Concern
4. First Name*
5. Last Name*
7. Address/Location*
   Address or Location of perceived Stormwater Violation*
9. Concern Description*
11. Contact Phone*
12. Contact Email*
14. Complaint Type*
    -- Select One --ChemicalSedimentDumping/TrashAnimalConstruction
15. Documentation/Images
17. 
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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