Water Service Line Inventory
Town of Middlebury, IN
***If you need any assistance in completing this survey, please call Town Hall at 574-825-1499 and we would be happy to schedule someone to assist you!***

Before completing this survey, review these instruction to learn how to locate your water line and identify the material.


Please verify the information and complete all questions below once you have located and tested your water line:
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First Name *
Last Name *
Street Name
example: Main Street
*
Property Address
example: 123
*
Apartment Number
Phone Number (Primary)
example: 574-123-4567
*
Phone Number (Alternate)
example: 574-123-4568
Email
example@email.com
*
I want to be contacted by *
I am the *
What is your water service line material?
My water service line pipe material is likely: *
Captionless Image
A Magnet sticks to my service line: *
My house was built in:
If you are unsure of the year your house was built, please select one of the following:
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