T. Is the street a city street or private street:
S. City

T. Are there any landmarks nearby to help identify where the problem is located:
S. No landmarks needed. If its rained then the puddles will show you, otherwise you just need to drive down the street and your car will tell you.

T. What type of repair is needed:
S. Potholes

T. Describe:
S. Hazard during cold weather when it freezes at the end of resident driveways from water runoff

T. Is it creating a traffic hazard:
S. Yes

T. What type of road surface needs repair:
S. Gravel