Cross Connection Control Survey Requirement
If you need assistance completing this form, please call us at 308-630-8047.
The Nebraska Health and Human Services Regulation Title 179, and the City's Municipal Code, require consumers of our public water supply to inspect their plumbing connections not less than once every five years.
If you are completing this survey for the first time, please answer all 9 questions below.
If this is a 5 year re-examination of your property, and no changes have been made to your plumbing connections, please answer questions 1 to 3 below, type your name at the bottom of the survey and select submit survey.