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2. Community Compliance Contact Form
   For water emergencies, please call our water emergency hotline at (910) 332-6565.
4. For Backflow Installation & Inspection
   If you need a Backflow Prevention Assembly Installation and Inspection, use the Web Form link below left. If you prefer, you can fill out and save the PDF form below right, then upload it at the bottom of this page. Fields with asterisks* are required.
6. Backflow Installation/Inspection Online Web Form
7. Backflow Installation/Inspection - PDF Form
9. First Name*
10. Last Name*
12. Company Name
14. Street Address*
15. City*
16. Zip Code*
18. Email Address*
19. Phone Number*
21. Comments*
23. Upload File
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25. 1. Receive an email copy of this form.
26. Email address

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