310084_ENFORCEMENT_20171231

NORTH CAROLINA
Department of Environmental Qua

N.C. DIVISION OF -WA QUALITY
Water Quality Section
Complaint/Emergency Report Form
WILMINGTON REGIONAL OFFICE
Received by t/ �% G A Date 23of Time 1-�5 .-35-
Emergency Complaint City County AL��L
Report Received From
Agency Phone No.
Complainant
Address Phone No.
Check One. Fish KX Spfll Bypass Animal NPDES N.D.
Stormwat�er Wetland Other, Spec`ify:/ Nature of Referral 41)
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4112
5r rd% ! F .S.s-,DF_ S 1 Time and Date Occurred i�
Location ofArea Affected
Surface Waters Impacted Iy�/f_ _ Classification
Other Agencies Noffied
Investigation Details
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SAWOSISHELLSIREPORF SHL
EPA Region IV [phone] Pesticides 733-3556 EmergencyManagement 733-3867 Wildlife Resources 733-7291
Solid and Hazardous Waste 733-2178 Marine Fisheries 726-7021 Wafer Supply 733-1321 Coast Guard MSO 343-4681
127 Cardinal, Drive Extension, calming on, N.C. 28405-3845 • Telephone [phone] w Fax [phone]