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Cobble Hill Odour Concern Form

submitted forms are shared with the facility where the odour is suspected to be originating from. Be sure to report your concern as soon as odour is detected so an investigation can be completed right away.

Release of Personal Information

Personal information collected on this form is done so under the authority of the Freedom of Information and Protection of Privacy Act and is protected in accordance with that Act. Your personal information will only be used by authorized staff for the purposes of program delivery and/or bylaw enforcement, or for uses consistent with those purposes. Questions about the collection of your personal information may be referred to the Legislative Services Department by phone or by email.

Cobble Hill Odour Concern Form

MM slash DD slash YYYY
Please provide the time and date when you first noticed the odour
Time of odour incident(Required)
:
Address(Required)
Please provide a street address closest to where the odour was noticed, below:
Is the odour still present?
Has the odour been…
MM slash DD slash YYYY
Please provide date and time.
Time
:
Tone and Intensity
Check the box that BEST describes the odour.
Odour Source
I think the odour is coming from the following one or more sources
Wind Strength
Choose one
Weather condition
Choose one
Name(Required)
Address
Enter your email to receive a copy of this form.
Land Acknowledgement
The CVRD is in the ancestral and unceded territories of First Nations including (but not limited to) Quw'utsun (Cowichan Tribes), MÁLEXEŁ (Malahat), BOḰEĆEN (Pauquachin), c̓uubaʕsaʔtx̣ (Ts'uubaa-asatx), xeláltxw (Halalt), Spune’luxutth (Penelakut), Stz'uminus, Leey’qsun (Lyackson), Diitiidʔaaʔtx̣ (Ditidaht) and P’a:chi:da?aht (Pacheedaht) Peoples. Local First Nations Peoples have stewarded the lands of this region since time immemorial. The CVRD is committed to the ongoing journey of reconciliation between Indigenous and non-Indigenous peoples in the region by strengthening cooperation, collaboration, and relationship building.