Report a Contaminated Land Concern

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Your Details
1. 1. Title*
  2. First name(s)*
  3. Last name*
2. Email
3. Confirm Email
4. Contact Telephone*
5. House name/number*
6. Street or Road Name*
7. Village
8. Town or City*
9. Postcode*
10. Please use capitals and a space e.g. BA4 5BT when entering your postcode
Nature of your issue
1. Nature of your query
Location of your query
1. Location of query*
2. House name/number
3. Street or Road Name
4. Village
5. Town or City
6. Postcode
7. Grid Reference (if known)
8. Please use capitals and a space e.g. BA4 5BT when entering the postcode of the property related to this issue, if applicable.
9. If you have a plan or report you can upload a copy here
Details of your query
1. Please provide as much detail as possible
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