Water Line Inventory Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address of PropertyAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you the owner of the residence/property listed on the postcard mailed to you by BPWD?YesNo of line Contact * If not, please forward the postcard on to the property owner or ask them to call us at (859) 428-2112Type of line entering the homePlastic/PVCLeadCopperGalvanizedWas the property built after 1988?YesNoUnknownBest Contact Phone NumberComment or MessageSubmit
