Site Inspection Request Form

Name * Title First Middle Last Suffix
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * - ### - ### ####
Email *
Energy Facility Description
Project name (if known)
I certify that I am employed directly or indirectly by the certificate holder and ask that my name not be disclosed in any manner except when disclosure is required by law (OAR 345-026-0050(2)(b)
Describe grounds for request. Under OAR 345-026-0050(2), any person may request an inspection of and EFSC-jurisdiction facility. The requests are limited to two concerns: I believe a violation of a Council order or site certificate condition or warrranty has occurred or may imminently occur. Describe, in detail. Provide site certificate or final order reference.
Location: The more speficially you can describe the location, the easier it will be to make a jurisdiction determination and a determination as to whether a site inspection is warranted.
County
Driving instruction / Crossroads
Township, range, Section, and 1/4 Section
Latitude / Longitude
Turbine #
Other