NCDENR: Division of Air Quality - Objectionable Odor Logbook Form

Department of Environment and Natural Resources

Objectionable Odor Logbook Form

return forms to: the appropriate Division of Air Quality Regional Office

Please complete this information as carefully and completely as possible. Submit these forms to the Division of Air Quality at your Regional Office.PLEASE PRINT NEATLY

Locations of Complaint :

Street Address : __________________________________________

City, Zipcode : __________________________________________

Name of Complainant : _______________________________________________________
Daytime Telephone number : ________________________

OBJECTIONABLE ODOR FORM :
PLEASE Complete when you note objectionable odors, not faint agricultural odors.

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Date and Time	Wind Direction from: (circle one)	Weather Pattern (circle all that apply)	Suspected Activities (circle all that apply)
Date: Time:	East South West North	Hot Cold Humid Foggy Calm Breezy	Animal Barn Lagoons Spray Field Other:_______________
Date: Time:	East South West North	Hot Cold Humid Foggy Calm Breezy	Animal Barn Lagoons Spray Field Other:_______________
Date: Time:	East South West North	Hot Cold Humid Foggy Calm Breezy	Animal Barn Lagoons Spray Field Other:_______________
Date: Time:	East South West North	Hot Cold Humid Foggy Calm Breezy	Animal Barn Lagoons Spray Field Other:_______________
Date: Time:	East South West North	Hot Cold Humid Foggy Calm Breezy	Animal Barn Lagoons Spray Field Other:_______________

Signature: ____________________________________________ Date: __________