Form EQP5969 Water Supply Cross Connection Report for Systems Serving Only Residential Accounts - Michigan

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Form EQP5969 Water Supply Cross Connection Report for Systems Serving Only Residential Accounts - Michigan

What Is Form EQP5969?

This is a legal form that was released by the Michigan Department of Environment, Great Lakes, and Energy - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form EQP5969?
A: Form EQP5969 is a report used to document water supply cross connections for systems serving only residential accounts in the state of Michigan.

Q: What is a water supply cross connection?
A: A water supply cross connection is a physical connection between a potable (drinking) water supply and a non-potable source, such as a plumbing fixture, process piping, or irrigation system.

Q: Why is it important to report water supply cross connections?
A: Reporting water supply cross connections is important to prevent contamination of the drinking water supply, which can pose health risks to residents.

Q: Who needs to fill out Form EQP5969?
A: Form EQP5969 needs to be filled out by systems serving only residential accounts in the state of Michigan.

Q: What information is required on Form EQP5969?
A: Form EQP5969 requires information about the system's name, location, contact person, description of cross connections, and the actions taken to prevent backflow of contaminants.

Q: Are there any fees associated with submitting Form EQP5969?
A: No, there are no fees associated with submitting Form EQP5969.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Michigan Department of Environment, Great Lakes, and Energy;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form EQP5969 by clicking the link below or browse more documents and templates provided by the Michigan Department of Environment, Great Lakes, and Energy.

Download Form EQP5969 Water Supply Cross Connection Report for Systems Serving Only Residential Accounts - Michigan

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