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Service Line Inventory

Please complete ASAP.

Avoid the on-site inspection by completing this form.

By completing this form, you can avoid an on-site inspection to examine the materials used in your water service line.  The fewer on-site inspections PWSD3 staff must do will keep the cost of our water down.
If you have concerns, please call the office at 660-886-7079 or email PWSDno3@gmail.com for more information. We appreciate your cooperation in providing this information to help us comply with the new EPA and MoDNR inventory regulations!

The tests below may help.

There are a few tests to check your pipes to help determine if lead, galvanized steel or copper is used.

For additional information on identifying the type of materials, please check out this page, https://pwsdno3.com/identifying-pipes/

Contact Info

What is your account number?

What is your account number? If you have TWO accounts, please complete the form for each account. If you have more than two, please list all in the below.

Names

NAME: What name(s) should be on your bill?


Email – if no email address, type NONE.

Phone Number and Carrier

Phone: What is the best and next-best number to reach you if there is a problem?

CARRIER: Who is your cell phone carrier? This will allow PWSD3 to text you important information and notices, such as a reminder that your bill wasn’t paid or that your meter will be shut off for non-payment.

Best phone number to call if there is a problem.

Information about your Home/Farm/Business

Homes built before 1986 are more likely to have lead pipes, fixtures, and solder. Please provide your best estimates.
Building Type?
BUILDING: What kind of BUILDING does the meter serve?
Selected Value: 1950
When was your house built? Slide the dot to the best guess.
Selected Value: 1986
When was the last time your waterline was installed from the meter to your home/business/etc.? Was it before or after 1986? If you have put in a replacement line, please use that date. This is not the original well to house date. Slide the dot to the best guess.
Outside Pipe?
What type of material was used to install your waterline (from the meter into your home/business/etc.)?
Pipe Size?
SIZE: What size is the waterline from the meter to your home/business/etc.?
Plumbing Installed?
When was plumbing installed in your HOME/BUSINESS/ETC.? Some homes have been gutted and all new pipes reinstalled which may have removed any lead or copper pipes. Use the newest date.

Types of Pipe

 

Inside Pipe?
What is the Primary type of plumbing materials inside your HOME/BUSINESS/ETC?.
Verified?
How were you able to answer the questions about your property? (Select as many as needed.)
Filter Use?
Do you use water filters? Do you use filters on faucets, under sink filter systems, or whole house water softener? Do you use a Water Pitcher like Brita, Aquagear, Aqua Bliss, Levoit, etc. (Select as many as needed.)

 

Pool?
Do you have a pool?
Continuous Water Use?
Does water run continuously through the meter? This lets us know if there may be unexpected issues. (Select as many as needed.)

Take a picture to show the pipe material

Where does the water line come into your home?  This scratch one shows that copper was used in this home.

If you can not upload the image, please email the image to photos@PWSDno3.com with your name and account number in the message.

 

If you need help with this part, bring your phone/camera to the office. Thank you!

Click or drag a file to this area to upload.
Find where the water line comes into your home. Take a picture of that area. Upload it. If you can not upload the image this way, please email the image to photos@PWSDno3.com with your name and account number in the message.

FINALLY – Click the SUBMIT button, and you will be done.

By submitting this form, you agree that you have answered the questions to the best of your ability. If you are unsure of any answers, someone may follow up later for clarification.

Thank you for providing your information, as it is invaluable.