Report a bonfire, smoke problems and air pollution

* indicates a required field

What type of problem is it? *

Bonfires that affect the local highway or people living or working nearby

Chimney smoke from a house in a smoke control area

Problem with smoke from industrial premises

Other (please describe)

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Other * ! Please provide details

Where is the pollution coming from? * (Give address with postcode, if possible) ! Please provide details

When does it happen? * (What days and times of the day?) ! Please provide details

How long does it last? * ! Please provide details

How often does it happen? * ! Please provide details

Have you spoken to the person responsible? *

Yes

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What was the outcome? * ! Please provide details

Please give any additional information to help with our investigations !

First name * ! Please enter a first name

Last name * ! Please enter a last name

Enter the postcode

Address Postcode ! Please enter a postcode

Enter Address Manually

House number or name * ! This is a required field

Address Line 1 * ! This is a required field

Address Line 2 !

Town * ! This is a required field

Postcode * ! This is a required field

Telephone number * ! Please enter a valid telephone number

Email address (we'll use it to send you an email confirmation) !

The information provided in this form is true to the best of my knowledge *

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