Sacramento District Online
Alleged Unauthorized Activity Report Form

ABOUT YOU     I wish to remain anonymous
The following information is optional. You may remain anonymous. If you elect to furnish this information, it will remain confidential.
Your Name
Your E-Mail
Your Phone
 
RESPONSIBLE PARTY (Owner of Property)
Name
Address
City     State:     Zip Code:
Phone Number
(if known)
 
ALLEGED VIOLATOR / CONTRACTOR (if different from above)
Name
(Company Name)
Address
City     State:     Zip Code:
Phone Number
(if known)
 
VIOLATION LOCATION
Street Address
City     State:     Zip Code:
County
Legal Description
(Section/Township/Range)
Waterway
Directions to Site
 
DESCRIPTION OF UNAUTHORIZED ACTIVITY
Date(s) Activity Observed
Date(s) Activity Occurred
Activity still on-going?Yes   No   Unknown
 
Narrative Detail of Unauthorized Activity
(Please include estimate of impact/damage, if known)
 
Any photographs you might provide would be very useful (please limit total to 5 Mbytes)
File 1 File 4
File 2 File 5
File 3 File 6

            Send me a copy of the report I submitted