Odor Complaint Form

Brookhaven Community Coalition

Brookhaven Community Coalition

Complaint Form

This is an electronic form you can use to notify the BCC that you filed a complaint with NYSDEC and/or Brookhaven Town about an odor or other environmental pollution problem.

If you are reporting an odor complaint to the BCC, please also contact:

New York State D.E.C. Odor Hotline: 444–0380

Brookhaven Town Odor Hotline: 874–2163.

If you are reporting any other environmental related complaint to the BCC, please also contact:

Brookhaven Town Public Safety: 451–6161

Brookhaven Supervisor Mark Lesko: 451–9100

4^th District Councilwoman Connie Kepert: 451–6968

You may submit this form anonymously. However, if you provide us with information on how to reach you, BCC can keep you updated about your complaint. Additionally, in order to research your complaint we may need supplementary information.


Your Name:
Address Street:
City:
State:		New York
Zip Code:		(5 digits)
Daytime Phone:
Evening Phone:
Email:
Whom do you believe to be responsible for the problem?		Brookhaven Landfill L.I. Compost Other

Nature of the Complaint:		Air (dust/particulates, open burning, and industrial emissions. Land (open dumping, possible hazardous waste, litter). Odor Problems (Check the appropriate boxes) Ammonia Chemical/Solvent Decaying Grass Burnt/Smoky Earthy/Moldy/Musty Rotten Egg Cabbage-like Fishy Sewer/Sewage-like or Manure Woody Other
Briefly describe the problem. Please provide as much detail as possible regarding the description of the event and its location.
If you remember the specific times when the problem occurred, please list the time of day and date.
Have you ever worked for the suspected source?		Yes No
Unless you consent to its release, the BCC will regard your identity as confidential. However, the information regarding your complaint may be disclosed.
Do you consent to the Brookhaven Community Coalition disclosing your identity as a complaining party?	Required: Yes No
Comments:	Enter additional comments here!

Thank you for your help in protecting our environment!