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2. Definitions

   Illicit Discharge

   Any discharge to an MS4 that is not entirely composed of stormwater. Exceptions can be located in Hendersonville Municipal Code 18-308 (1)(a) (PDF).

   Illicit Connections

   Illegal and/or unauthorized connections to the municipal separate stormwater system whether or not such connections result in discharges into that system.

4. Date of Discharge*
   Date of Discharge

   Date of Discharge
5. Location of suspicious discharge*
6. What type of discharge to the Hendersonville Municipal Separate Storm Sewer System are you reporting?*

   1. Illicit Discharge
   2. Illicit Connection
8. Please provide a detailed description of the incident and what you observed at the location of the suspected discharge.*
10. If you have photos or video, please submit them with this form.

    Maximum size allowed: 5 MB

    Allowed types: .gif,.jpg,.jpeg,.png,.doc,.docx,.xls,.xlsx,.rtf,.pdf,.txt

12. Please provide a name and number or email, if you would like to be contacted.
14. Name
15. Phone
16. Email
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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