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2. Village of Hartland
   Stormwater Pond Inspection Submission
4. Point of Contact
   First Name*
5. 
   Last Name*
7. Email Address*
8. Phone Number*
10. I would like to receive future communications regarding stormwater ponds and stormwater pond inspections by email. *
    -- Select One --YesNo
12. Future communications regarding stormwater ponds and stormwater pond inspections should be mailed to:
    Address*
14. Address
16. City*
17. State*
18. Zip*
20. Pond ID(s):*
22. Uploads are limited to five files. If there is a need to submit additional inspection forms, combine multiple forms into one file or complete a second upload.
24. Upload Form(s)*
26. Upload Form(s)
28. Upload Form(s)
30. Upload Form(s)
32. Upload Form(s)
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field