Welcome to Highspire! The home of 2,741 residents. | 640 Eshelman Street, Highspire, Pennsylvania, 17034 | (717) 939-3303

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Public Complaint Illicit Discharge Reporting Form

Home › Public Complaint Illicit Discharge Reporting Form

"*" indicates required fields

Name*

Contact Number*

Email*

Date*

Time Discharge Discovered*

Date of Last Rain Event*

Estimated Quantity of Rain in Inches*

Location of Discharge*

Indicate nearby street intersections, addresses, and/or landmarks for reference.

Where was the discharge found?*

Open Ditch

Stream

Pipe Outfall

Other

Was there an oily sheen?*

Yes

No

Was there garbage/sewage?*

Yes

No

If other, specify:

Was water flow observed?*

Yes

No

Was flow solid or pulsing?*

Solid

Pulsing

Was a photo taken?*

Yes

No

Upload Photo

Drop files here or

Max. file size: 20 MB.

What did the odor smell like?*

What color was it?*

What was its clarity?*

If other, specify:

Additional Information to assist in the investigation:

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Phone

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Located in southern Dauphin County on the northeast bank of the Susquehanna River, this ever-evolving community with a rich history is home to 2,741 residents.

Your Community Since 1814

Contact Us

Address
640 Eshelman Street
Highspire, Pennsylvania, 17034

Office Hours
Mon – Fri: 8:00 am - 4:00 pm

P | (717) 939-3303
F | (717) 939-3371
E | debersole@highspire.org

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