Patoka Lake Regional Water Survey
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Meter location # (for office use only)
First Name *
Last Name *
Phone #
Email
Address Line 1 *
City
Zip
What is your property type? *
What is your occupancy type? *
What year do you believe your home/property was constructed? *
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Water Service Line Material
Guide for identifying water service line material
What is the pipe material type for the section of water service line that enters your home/building from the outside and then connects with your water meter? *
How did you determine the material of you water service line? *
Are you interested in OPTIONAL testing of you water service line for lead, if the property is deemed eligible?
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