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Mailing: PO BOX 239 × 301 S. Ferguson St Perryville, IN 47126 Office: 8122941481 / Fax: 8122941743 Cross Connection and Backflow Prevention Program It is all of our responsibility to protect our

How to fill out cross connection and backflow

How to fill out cross connection and backflow:

1. Start by gathering the necessary information and documentation required for the cross connection and backflow form.
2. Ensure that you have a thorough understanding of the specific regulations and requirements related to cross connection and backflow in your area.
3. Begin by providing your contact information and the details of your water supply system on the form.
4. Identify all potential sources of cross connection and backflow within your premises. This may include irrigation systems, fire sprinkler systems, and other plumbing connections.
5. Perform a thorough inspection of your plumbing system to identify any existing or potential cross connections.
6. Use the form to document the appropriate backflow prevention devices that are installed on your premises. This may include backflow preventers, air gaps, and other approved devices.
7. If any backflow prevention devices are not present or are not functioning properly, make note of this on the form and take appropriate action to rectify the situation.
8. Fill out any additional sections on the form that may be required by your local water authority or regulatory body.
9. Review the form to ensure that all information is accurate and complete before submitting it to the relevant authority.

Who needs cross connection and backflow?

1. Cross connection and backflow prevention measures are necessary for anyone who has a water supply system that is at risk of contamination or backflow.
2. This includes residential homeowners, commercial property owners, and anyone who operates a facility that uses or supplies water for human consumption.
3. Many municipalities and water authorities have specific regulations in place that require certain businesses, such as restaurants, medical facilities, and manufacturing plants, to have cross connection and backflow prevention measures in place.
4. Additionally, property owners who use non-potable water sources, such as reclaimed water or well water, may also be required to have cross connection and backflow prevention devices installed to protect the potable water supply.

For pdfFiller’s FAQs

What is cross connection and backflow?

Cross connection is the unwanted mixing of drinking water with non-potable water, while backflow is the reverse flow of water back into the drinking water supply.

Who is required to file cross connection and backflow?

Property owners, businesses, and public utilities are typically required to file for cross connection and backflow prevention.

How to fill out cross connection and backflow?

Cross connection and backflow prevention forms usually require information about the location, type of backflow prevention device, and maintenance schedule.

What is the purpose of cross connection and backflow?

The purpose is to protect the public water supply from contamination and ensure water quality and safety.

What information must be reported on cross connection and backflow?

Information such as the location of potential cross connections, type of backflow prevention device installed, and maintenance records.

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