Lane County

Site Info: Location of Dump Site: *

Please be as specific as possible, using address, milepost, GPS or map coordinates, city, landmarks etc
Type of Waste (check all that apply): *
Appliances Construction debris Electronics Furniture Household Trash Shooting Debris Tires Yard Debris Other
Date you first observed the dump: * MM / DD / YYYY
Date of the illegal dumping, if known: MM / DD / YYYY
Suspect Information (if known):

Vehicle used in the dumping. Describe it as best you can and any part of the license plate and company name if possible.
Make:
Model:
Color:
License Number:
Additional Information (company markings, distinguishing features etc.)
Describe the suspect(s) you believe is/are responsible for the dumping. Include height, weight, sex, race and distinguishing characteristics.
Contact Information:

Please provide your name and email address and other contact information as we may need to contact you to clarify or obtain additional information on the dump site.
Contact Name: * First Last
Contact Email: *
Contact Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Phone Number: ### - ### - ####
Do Not Fill This Out