You need to submit a renewal request each year.
Remember, by signing this form, you as the owner or responsible party are verifying that the building use is the same as it was when the building was inspected and the plumbing in your building had not been changed or modified since the building was inspected when the original exemption was granted. If the building use or internal plumbing has been changed, please refer to question #2 above.
Please use the form below to keep your exemption active.
The exemption option for non-hazardous services is no longer offered. Only those customers that obtained the exemption during the early stages (2012-2014) of our backflow prevention program can use this form. If you did not apply for an exemption during this time frame you are now required to install some type of backflow prevention device on your water service based on the degree of hazard your facility poses to the public water supply. See question #2 above for details.