Cross-Connection Control/Backflow Survey Form « The City of Lakewood, Ohio -
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Cross-Connection Control/Backflow Survey Form


Cross-Connection Control/Backflow Survey Form

  • Every five years, Ohio EPA requires the City of Lakewood Water Department–the purveyor of water for the City of Lakewood–to inspect all commercial properties and apartments 4 units and greater per OAC §3745-95-03. This means that we are required to make an on-site visit to your property to (1) review and discuss your water usage, and (2) ensure any possible hazards are protected from backflow and backsiphonage. The deadline for this inspection is April 2025.

    Please fill out the Pre-Inspection Form below with as much information as possible regarding your property and water usage. It will help us to schedule the proper amount of time for our visit and complete the inspection as efficiently as possible.

    We are required to do an onsite visit of this property and we will be reaching out to make an appointment in the near future. If you have questions, or would like to call and make an appointment, please contact the Water Department at (216) 529-5692.