DO YOU HAVE AN IN-GROUND SPRINKLER SYSTEM?
DO YOU HAVE AN IN-GROUND POOL?
DO YOU HAVE HOSE BIBS?
DO YOU HAVE FROST FREE HYDRANTS?
DO YOU HAVE ANY MEDICAL EQUIPMENT CONNECTED DIRECTLY TO YOUR WATER LINES OR FAUCETS?
IF YES, DOES IT HAVE A BACKFLOW ASSEMBLY?
IF YES, IS IT PLUMBED DIRECTLY INTO YOUR WATER SYSTEM?
IF YES, ARE THEY ANTI-SIPHON?
IF YES, DO THEY HAVE ANTI SIPHON ADAPTERS?
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AVONDALE IRRIGATION DISTRICT
RESIDENTIAL CROSS CONNECTION CONTROL PROGRAM SURVEY
​This is a one time site survey for compliance of the Cross Connection Control Program. The information you provide is confidential and only relevant to your property, we do not share it.  Please complete this survey to the best of your ability. If you have questions, contact our Backflow Prevention Coordinator Justin Holte at (208) 772-5657.  
*LAST NAME:
ACCOUNT NUMBER:
*PHONE NUMBER:
*EMAIL:
*STREET NAME:
*HOUSE NUMBER:
*FIRST NAME:
DO YOU HAVE RADIANT FLOOR HEATING?
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An in-ground sprinkler system is buried beneath the ground surface and usually consists of pop up sprinkler heads.  In-ground sprinkler systems can be connected to the water source at the house, by the water meter or anywhere in between.
A backflow assembly should be located at the water source and could be buried in an access box or mounted above the ground, on the side of a house or maybe the deck..
Questions or comments:
DO YOU HAVE ANY ADDITIONAL SOURCES OF WATER SUCH AS A PRIVATE WELL, OR BOOSTER PUMP FROM THE LAKE?
DO YOU HAVE A FIRE SPRINKLER SYSTEM?
DO YOU HAVE AN IN-HOME BUSINESS?
In-ground swimming pools often have mechanical rooms where the domestic water source is piped directly to pipes that fill the pool.  This kind of a situation is a cross connection.  If you are unsure please mark the survey "Not Sure" and we will come and complete that portion of the survey for you.  Typically, above ground pools are filled with a hose and protected by the anti-siphon adapter on the hose bib.
Homes since 1990 should have been constructed with anti-siphon hose bibs as seen in the picture on the right.  Homes constructed prior to 1990 would have hose bibs without anti-sphon as seen in the upper middle picture.   Anti-siphon adapters can be added to hose bibs that do not have anti-siphon to bring them into compliance as seen in the picture on the left.
Example of hose bib with anti-siphon adapter
Example of hose bib with anti-siphon adapter
Example of hose bib without anti-siphon adapter
Example of anti-siphon adapter that can be added to a hose bib or frost free.
Example of frost free hydrant without anti-siphon adapter.  This frost free does not meet CCCP requiremtns.
Example of frost free hydrant that has a anti-siphon adapter added.  This frost free meets CCCP requirements.
Frost free hydrants are convenient ways of having year around water at different locations on your property.  Frost frees do not come with anti-siphon adapters when purchased, they must be added separately.. 
Some medical equipment used at home such as dialysis machines can be directly connected to your water source.  Medical equipment such as this must have the proper backflow prevention assemblies in place.  If you are unsure, please call our office so we can inspect your premises and make the correct determination.
Although radiant floor heating has become an economical way of heating a home or business, special precautions need to be taken to prevent cross connection.  In these pictures the system is a "closed" system and is not connected directly to the water source, but in many cases it is connected directly and requires a reduced principle pressure assembly.
Radiant floor heating usually has a large manifold of piping with water lines leading to all parts of the building.
Radiant floor heating systems have boilers to heat the water that circulates through the floors.  Often these systems are connected directly to the water source and need backflow prevention assemblies.
Example of a booster pump.
Often times, consumers will have auxiliary water sources on their property for irrigation or as a backup source.  These types of installations can overcome the pressure of the public water system causing a back pressure situation and therefore need to have backflow prevention assemblies.  Other examples could be a submersible pump sitting out in the lake. 
Example of a well.
Some homes and a many businesses have interior fire sprinkler systems.  These systems require backflow prevention assemblies.
If you have an in home business please make us aware of it so we can determine if your business requires any type of backflow prevention assembly.  We want to make sure your home and our public water system is safe from all cross connections.
Do You Have a Business in Your Home???
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