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This document outlines the policy for inspecting, testing, and regulating backflow prevention assemblies in the City of Rocky Mount's water distribution system, ensuring compliance with federal and
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How to fill out backflow prevention and cross

How to fill out Backflow Prevention and Cross Connection Control
01
Begin by obtaining a Backflow Prevention and Cross Connection Control form from your local water authority.
02
Carefully read the instructions provided on the form.
03
Fill out your personal information, including name, address, and contact details.
04
Specify the type of property for which you are applying (residential, commercial, industrial).
05
Indicate the type of backflow prevention device being installed.
06
Provide details about the plumbing system and any existing cross connections.
07
Attach necessary supporting documents, such as plumbing diagrams or previous inspection reports.
08
Review all entered information for accuracy before submitting the form.
09
Submit the completed form to the appropriate local water authority along with any required fees.
Who needs Backflow Prevention and Cross Connection Control?
01
Property owners with irrigation systems.
02
Restaurants and food service establishments.
03
Businesses with fire protection systems.
04
Factories and manufacturing plants utilizing chemicals in their processes.
05
Any residential or commercial properties connected to public water supply.
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What is Backflow Prevention and Cross Connection Control?
Backflow prevention and cross connection control refers to methods and practices designed to prevent contamination of the public water supply by ensuring that water flows in one direction and preventing backflow, which can occur due to pressure changes in the water system.
Who is required to file Backflow Prevention and Cross Connection Control?
Individuals and organizations that have plumbing systems connected to the public water supply and pose a risk of contamination, such as commercial businesses, industrial facilities, and certain residential properties, are required to file backflow prevention and cross connection control documentation.
How to fill out Backflow Prevention and Cross Connection Control?
To fill out a backflow prevention and cross connection control form, you typically need to provide information including the property address, type of facility, the specific backflow prevention devices in use, and any relevant inspection or maintenance records.
What is the purpose of Backflow Prevention and Cross Connection Control?
The purpose of backflow prevention and cross connection control is to protect the public water supply from contamination and ensure safe, clean drinking water by preventing the reverse flow of potentially polluted water back into the potable water system.
What information must be reported on Backflow Prevention and Cross Connection Control?
The information that must be reported includes the location and type of backflow prevention device, installation date, inspection and maintenance history, any changes in occupancy or use of the property, and results from any required testing.
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