Get Dep 3920 Fm Wm0287

Filling out the Dep 3920 Fm Wm0287 form is essential for public water suppliers to report necessary information accurately. This guide provides clear, step-by-step instructions to assist users in completing the form efficiently and correctly.

Follow the steps to complete the form with ease.

1. Click the 'Get Form' button to access the Dep 3920 Fm Wm0287 form and open it in the online editor.
2. Begin by entering the WUDS Primary Facility ID in the first field to identify your facility. Next, specify the report year in the designated section.
3. Input your water system name in the third field and provide the peak water withdrawal date, ensuring you include gallons per day for that date.
4. Fill in the minimum water withdrawal date. Again, include the gallons per day as requested.
5. Indicate if you have a cross connection control program by selecting 'Yes' or 'No.' Repeat this for the conservation information provided to customers, active meter replacement program, hydrants worked, and valves worked, ensuring to answer each question appropriately.
6. Complete section 13 by stating the population served by your system and fill in your public water supplier ID in section 14.
7. Detail the number of meters replaced in section 15, followed by providing the average meter age in section 16.
8. Discuss your system flushing frequency in section 17 and describe the type, size, and length of new pipe installed as an extension to your present system in section 18.
9. In section 19, provide the name of the person preparing the report. Be sure to read the false reporting statement carefully.
10. In the signature area, certify that the information is true to the best of your knowledge by entering your first name, last name, title, address, zip code, city, office phone number, state, fax number, and email address in capital letters.
11. Complete sections 20, 21, and 22 by filling in the total average daily water withdrawal, total yearly water withdrawal, and details of metered and unmetered connections respectively.
12. Address questions regarding the service area map, active leak detection program, inadequate pressure, and the present number of connections served, ensuring to provide accurate information.
13. Finally, review all entries for accuracy, save changes, and you have the options to download, print, or share the completed form.

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