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Brazos County Stormwater Quality Report

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

    This field is not part of the form submission.

21. Submit

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