Please use this form to submit a report non-emergency issues only. If you would like to be updated on the progress of your request and when it is completed, please be sure to provide an email address or phone number. The Street Division can only respond to requests located within the Town of Leesburg's corporate limits and that are on a publicly (Town) maintained and owned roadway. We cannot perform repairs or other work in privately maintained areas such as condo/apartment communities, shopping centers, schools, etc. If you encounter an issue outside of our service area, please check with VDOT to see if they can be of assistance.

What type of storm sewer issue are you reporting?

What type of storm sewer issue are you reporting?

Blocked Curb Storm Sewer Inlet

Blocked Yard Storm Sewer Inlet

Clogged Storm Sewer Outfall

Minor Street Flooding From Blocked/Clogged Inlet

Storm Drain Marker Missing

Damage to Storm Sewer Inlet

What date did you observe the issue?

 *

What date did you observe the issue?

What is the closest address or cross street to where the issue is located?

 *

What is the closest address or cross street to where the issue is located?

Is the issue in the roadway, the curb (inlet) or other location (please explain)?

Is the issue in the roadway, the curb (inlet) or other location (please explain)?

Roadway	Curb Inlet
Yard Inlet or Other Location

Please provide any additional information regarding the issue being reported:

Please provide any additional information regarding the issue being reported:

If you were able to take a photo of the issue please upload it here:

If you were able to take a photo of the issue please upload it here: Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Do you wish to be contacted regarding the progress of the work on this request or in the event additional information is needed?

Do you wish to be contacted regarding the progress of the work on this request or in the event additional information is needed?

Yes

No

If you would like to be contacted please provide a phone number or email address:

If you would like to be contacted please provide a phone number or email address:

Thank you again for taking a moment to complete this form and provide information on the stormwater issue reported. If you provided an email address or phone number, Town staff will be in touch within 2-3 business days to provide updated information on the status of the request. If you have any questions or need additional information in the interim, you may call 703-771-2790 or email publicworks@leesburgva.gov for assistance. Thank you.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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