2026 Residential Cross-Connection Survey Form
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UNDER NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES REGULATIONS TITLE 179 SECTION 8 YOUR LOCAL WATER UTILITY IS REQUIRES TO CONDUCT AN ON-GOING PROGRAM FOR THE DETECTION AND ELIMINATION OF CROSS-CONNECTIONS WAHOO UTILITIES IS CONDUCTING THIS SURVEY TO ASSIST CUSTOMERS IN REPORTING POTENTIAL BACKFLOW HAZARDS AND TO COMPLY WITH THIS REGULATION THIS MUST BE DONE AT LEAST EVERY FIVE YEARS |
Your local water supplier, in compliance with the Safe Drinking Water Act of 1974 and the amendment to the Safe Drinking Water Act of 1986, enacted an ordinance which provides for a program preventing backflow and back siphonage into the public water supply system.
What is a cross-connection?
A plumbing cross-connection is defined as a connection between public water supply and a source of contamination or pollution. In other words, a cross-connection makes it possible for the contaminating material to enter into drinking water supply when the pressure of the polluted source is greater than the pressure of the water supply. This can result in either a back siphonage or backflow (a reversal in the normal direction of water flow).
Hopefully, your local water system will never have a backflow problem that could endanger the welfare of its citizens. However, because potential backflow problems exist, it is important for YOUR HEALTH AND SAFETY to complete the following survey.
If you have any questions, Contact Aaron Gustin at 402.607.9470 or Dave Kavan at 402.443.9331
FAILURE TO DO SO MAY RESULT IN LOSS OF SERVICE
Please COMPLETE the survey below!



