Get Cross-connection Control Survey - Bremerton - Ci Bremerton Wa

Completing the Cross-Connection Control Survey is essential for protecting the drinking water supply. This guide provides clear, step-by-step instructions to assist users in filling out the survey accurately online.

Follow the steps to complete the survey effectively.

1. Click the ‘Get Form’ button to access the survey document and open it on your device.
2. Begin by entering the property address in the designated space at the top of the form. Ensure that this information is accurate to avoid any processing issues.
3. Select the property type by checking either 'Residential' or 'Commercial' to categorize your property correctly.
4. Indicate whether this meter serves homes or buildings by checking the appropriate options. If you rent, specify how many rentals or apartments you manage. If applicable, also note the number of buildings served by the meter.
5. In the next section, check all items that you have on your property, including but not limited to swamp coolers, hot tubs, or fire sprinkler systems. Your selections will help identify potential cross-connection risks.
6. Respond to the question about using certain equipment, such as anti-freeze flush kits or portable dialysis machines, by checking all that apply.
7. Indicate whether you have a water softener or any treatment system connected to your water system by selecting 'YES' or 'NO.'
8. Check 'YES' or 'NO' to specify if you have an auxiliary water supply on your premises.
9. Answer whether you have livestock and utilize a water trough, by checking 'YES' or 'NO.'
10. Assess if your home or building is elevated above the water meter and respond accordingly.
11. If a creek, river, or spring runs through your property, please indicate this and specify if you draw water from this source.
12. Clarify whether you own a booster pump or any other type of water pump by answering 'YES' or 'NO.'
13. State if you receive irrigation water from a different source by checking 'YES' or 'NO.'
14. Indicate if you currently have a backflow preventer installed on your property.
15. Finally, disclose any known situations that could create a cross-connection or check 'NO' if there are none.
16. If you have any additional water-using equipment that has not been mentioned above, please indicate this in the provided section.
17. Provide your printed name, contact phone number, and the date of completion.
18. Enter your mailing address clearly in the designated space to ensure proper communication.
19. After filling out the form, review all entries for accuracy before saving your changes. You can save the document, download it, print it, or share it as necessary.

Complete your CROSS-CONNECTION CONTROL SURVEY online today to help safeguard our community's drinking water.