2. 
   

   Please note that it is very important that concerns are reported as soon as odour is detected so an investigation can be completed right away.

4. 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 at 250-746-2503 or by email at legislativeservices@cvrd.bc.ca

6. Date of odour incident*
   Date of odour incident

   Date of odour incident
   Please provide the time and date when you first noticed the odour
8. Odour Location
   Please provide a street address closest to where the odour was noticed, below:
10. Street Number*
11. Street Name*
12. Town or City *
    -- Select One --Cobble Hill
14. Is the odour still present?*

    1. yes
    2. no
15. Has the odour been...

    (choose one)

    1. persistent since you first noticed it or
    2. on and off since you first noticed it
17. When did the odour incident end? (if applicable)
    When did the odour incident end? (if applicable)

    When did the odour incident end? (if applicable)
    Please provide date and time.
21. Tone and Intensity*

    Check the box that BEST describes the odour.

    1. bakery (roasty, malty, buttery)
    2. dead animal (putrid)
    3. earthy/musty/mouldy
    4. fecal/sewage/manure
    5. soap/fruit/citrus/green
    6. fuel/gas station (rubbery, glue, gasoline, moth balls, shoe polish, chemical)

    1. nitrogen/ammonia (fishy, urine)
    2. pine/mint/hay/lemon/eucalyptus
    3. rancid/putrid (yeast, sour milk/cheese, decay)
    4. sweet/garbage can/nail polish/solvent
    5. sulfur/cabbage/garlic (rotten egg, skunk)
    6. other
22. If odour other than listed, please describe.
23. Odour Intensity*
    -- Select One --PLEASANT (present but agreeable)BARELY NOTICEABLE/neutral (odour present but does not cause discomfort)NOTICEABLE/unpleasant (i.e., insufficient to make person take action to avoid it; "does not close a window")VERY UNPLEASANT/offensive (i.e., sufficient to cause person to take action; "closes a window" or file a complaint)UNBEARABLE (i.e., sufficient to make person take immediate action to avoid odour; "leaves", files a complaint)

    (choose one)
25. Odour Source

    I think the odour is coming from the following one or more sources:

    1. Central Landscape Supplies
    2. Fisher Road Recycling
    3. Cobble Hill Village Waste Water Treatment Plant (at Twin Cedar)
    4. Gallier Road Waste Water Treatment Plant
    5. Other
27. Wind Strength

    (choose one)

    1. no wind
    2. calm/light air (0-6km/hour: tree leaves don't move, smoke rised vertically, flag hangs still)
    3. slight/gentle breeze (7-19 km/hour: tree leaves rustle/leaves in constant motion, flag flapping)
    4. moderate/fresh breeze (20-39 km/hour: branches/small trees move, flags ripple)
    5. strong breeze (>=40 km/hour: large branches sway, flags beat loudly)
28. FROM which direction is the wind blowing?
    -- Select One --northnorthwestnortheastsouthsouthwestsoutheasteastwest
29. Weather Conditions

    (choose one)

    1. sunny
    2. overcast
    3. fog or drizzle
    4. rain
31. Temperature
    -- Select One --30+25-3020-2515-2010-155-100-5-5-0-10-0

    (choose one)
35. First Name*
36. Last Name*
38. Your Home Address (optional)
40. (optional)
42. (optional)
44. Phone Number
46. Email Address
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field