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Survey DateCompliance Statement Water Supply Cross Connection Return signed/completed form on Grand Chute Website:https://www.grandchutewi.gov/departments/publicworks/utilitydepartment/crossconnectioncomplianceprogram/Building/Site
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How to fill out utility departmentcross connection compliance

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How to fill out utility departmentcross connection compliance

01
Obtain the cross connection compliance form from the utility department.
02
Review the instructions provided with the form carefully.
03
Gather relevant information regarding your water system and its connections.
04
Fill in the details of your address and account number in the specified sections.
05
Indicate all existing cross connections present in your property, if any.
06
Provide information on the types of backflow prevention devices installed.
07
Sign and date the form where indicated to certify the information provided.
08
Submit the completed form to the utility department either online, by mail, or in person.

Who needs utility departmentcross connection compliance?

01
Homeowners with irrigation systems or external water features.
02
Businesses that use water for manufacturing, cleaning, or cooking.
03
Property managers of multi-family or commercial buildings.
04
Any property with potential cross connections that could contaminate the water supply.
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Utility department cross connection compliance refers to regulations and measures established to prevent the intermingling of potable water with non-potable water sources. This is crucial for maintaining the safety of drinking water supplies.
Typically, property owners, facility managers, and businesses that use or have water systems connected to public water supply systems are required to file for utility department cross connection compliance.
To fill out utility department cross connection compliance, you typically need to provide information about your water system, any cross connections present, and the preventative measures taken to ensure compliance with local regulations. Specific forms may vary by jurisdiction.
The purpose of utility department cross connection compliance is to protect public health by preventing contamination of drinking water supplies from pollutants or hazardous substances that can enter through cross connections.
The information that must be reported generally includes details about the water system, risks of potential cross connections, the type of business or property involved, and the measures implemented to mitigate these risks.
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