Blue Lake Springs Mutual Water Company is conducting a survey that is required by the State Drinking Water Division to collect the following information from our shareholders. This information will help protect your plumbing and our potable water system from potential sources of cross contamination. What is a cross connection? Cross connections are actual or potential connections between a potable water system and any source of contamination including an auxiliary water source. A cross connection makes it possible for contaminated material to enter into the drinking water supply when the pressure of the contaminating source is greater than the pressure of the water supply. This can result in either back-siphoning or backflow, causing a reversal in the normal direction of water flow. It is our goal to ensure the Blue Lake Springs Mutual Water Company will never have a backflow problem that could be harmful to our community. However, if a potential backflow problem exists, it is important for the health and safety of our shareholders to comply by completing this survey.

Survey questions:

Please check "YES" or "NO." If you answer "YES" to any of the questions, please describe.