Lead & Copper Service Line Questionnaire

Lead & Copper Service Line Inventory

  1. Important Requirement From EPA

    At the Le Mars Water Department we are committed to providing you with the best possible service and we value your feedback immensely.  In our ongoing efforts to enhance the quality of our services, we are conducting a comprehensive survey on lead and copper service line inventory.

    Your input is crucial in helping us understand the current status of service lines and identifying areas for improvement.  By participating in this questionnaire, you contribute to the betterment of our services and help ensure the safety and reliability of your water supply.

    The survey is designed to gather information about your property's service lines, and any in-home water treatment. 

     The Le Mars Water Dept. is required to do this for the EPA.

    We understand that your time is valuable, and we sincerely appreciate your willingness to participate in this initiative. 

    Your prompt response is appreciated, so please take a few moments at your earliest convenience to complete it. Your feedback is invaluable to us, and we look forward to hearing from you.

    Thank you for being a valued customer and for your continued support. If you have any questions or encounter any issues while completing the survey, please don't hesitate to contact the Water Department at 712-546-5555.

    Best regards, 

    Le Mars Water Department

  2. What material is your service line made of in its entirety? Check all that apply.*

    Check all that apply.

  3. Does or has your service line ever had a lead pigtail or gooseneck?*
  4. Building Type?*
  5. Do you have any water treatment?*

    Check all that apply.

  6. Primary interior water line material?*
  7. Secondary interior water line material?*
  8. Leave This Blank:

  9. This field is not part of the form submission.