Albuquerque District Online
Alleged Unauthorized Activity Report Form
ABOUT YOU
I wish to remain Anonymous
Name
Email
Phone
RESPONSIBLE PARTY (Owner of Property)
Name
Address
City
State
Zip
Phone
(if known)
ALLEGED VIOLATOR / CONTRACTOR (if different from above)
Name
(Company Name)
Address
City
State
Zip
Phone
(if known)
VIOLATION LOCATION
Street Address
City
Zip Code
State
County
Coordinates
Waterway
Legal Description
Directions to Site
DESCRIPTION OF UNAUTHORIZED ACTIVITY
Date(s) Activity Observed
Date(s) Activity Occurred
Activity Still going on
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 send photos to
Regulatory Office
(Files larger than 5MB will not be received)
