Noble, IL · Richland County
Cross-Connection Water Customer Survey
Noble water customers complete this survey to provide information about their service address, plumbing, water use, and possible cross-connections.
What this form is
The Village of Noble uses this survey to identify possible cross-connections that could contaminate the water supply. It asks about water service, business and household water use, wells or cisterns, backflow devices, plumbing materials, and other systems. The accompanying letter says the survey is sent every two years and asks customers to return it by May 30, 2025.
Who needs it
Noble water customers should complete the survey with information about their service address and plumbing systems.
How to submit it
Return it to Noble Village Hall, P.O. Box 278, Noble, Illinois, 62868; the letter also says you can drop it off at the Village Hall office or use its drop box.
About notarization
This document is signed without a notary; the customer signs and dates the survey, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Survey
Download the Noble Cross-Connection Water Customer Survey PDF.
- 2
Complete The Survey
Enter your service address, answer the water-use and plumbing questions, and provide your name, date, and signature.
- 3
Check For Attachments
The document does not list any required attachments.
- 4
Submit To Noble Village Hall
Return the survey by mail, drop it off at the Village Hall office, or use the Village Hall drop box.
Frequently asked questions
- What does the Noble water customer survey ask about?
- It asks about your service type, water use, plumbing, wells or cisterns, backflow prevention devices, pools, and other systems that could relate to cross-connections.
- How do I submit the Noble water customer survey?
- Return it to Noble Village Hall, P.O. Box 278, Noble, Illinois, 62868. The letter also says you may drop it off at the Village Hall office or put it in the drop box.
- Do I need a notary for the Noble water customer survey?
- No. The survey is signed and dated by the customer without a notary, and the document does not mention a notarized or sworn attachment.
