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Water Backflow Survey

  1. Dear Water Customer,

    The Illinois Environmental Protection Agency (IEPA) requires that all water systems in the State of Illinois have an effective Cross Connection Control Program in place to protect the public water supply from contamination. Cross connections within the public water supply are a serious concern, as they can allow contaminants or pollutants to enter the public water system through what is called “backflow.” Backflow occurs when a drop in water pressure causes your water to flow in the opposite direction. This can allow contaminated or polluted water to flow back into your drinking water. Given IEPA regulations and the dangers that exist from unprotected cross connections, it is necessary to establish and maintain an effective cross connection control program to protect the public water supply and its water customers.

    One required component in this program is a biennial survey of the water system to determine where cross connections exist. Below is a survey for your service location that we are requesting you complete and submit to the Carpentersville Water Division.

    The Village of Carpentersville is proud of the water that we deliver to you every day. By working together and cooperating with this critical program, we can further protect our water from potential contamination. Should you have any questions, please contact the water department at 847-551-3492. Thank you for your assistance.

    Sincerely,
    Dean A Gorter
    Water Superintendent

  2. Property Classification

  3. Please Check Each Box That Applies

  4. Are There Any Backflow Prevention Assemblies at Your Location?

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