Yadkinville, NC · Yadkin County
Backflow Inventory and Inspection Form
Businesses use this fillable form to report backflow device installation and inspection information to Yadkinville Public Works before water service activation.
What this form is
This form records business and contact details, the device’s location and specifications, installation type and date, and the process or service requiring backflow protection. Businesses use it to inventory a backflow device and provide inspection information; the document says the device must be tested before inspection and that the Inventory and Test and Maintenance forms must reach the Public Works Director before water service is activated.
Who needs it
Businesses requiring backflow devices for their process or service use this form to document installation and inspection details.
How to submit it
Submit the Inventory and Test and Maintenance forms to the Public Works Director before water service is activated; the device must be tested before inspection.
About notarization
This form does not require notarization; it contains date fields and identifies no sworn or notarized attachment.
How to submit this form
- 1
Download the Form
Download the Backflow Inventory and Inspection Form.
- 2
Complete the Form
Enter the requested business, contact, device, installation, and process or service details.
- 3
Arrange Device Testing
Have the backflow device tested before inspection, as the form requires.
- 4
Gather Related Forms
Prepare the Inventory and Test and Maintenance forms for submission with the required information.
- 5
Submit Before Activation
Submit the forms to the Public Works Director before water service is activated.
Frequently asked questions
- What information does the Backflow Inventory and Inspection Form request?
- It requests business and contact information, device location and specifications, installation details, process or service information, and inspection-related details.
- Do I need a notary for the Backflow Inventory and Inspection Form?
- No. This form does not require notarization; it contains date fields and identifies no sworn or notarized attachment.
- How do I submit the Backflow Inventory and Inspection Form?
- The document says the Inventory and Test and Maintenance forms must be submitted to the Public Works Director before water service is activated. It does not provide an address or submission method.
- Does the backflow device need to be tested before inspection?
- Yes. The form states that the backflow device must be tested before inspection.