Water Programs - Forms & Documents

Cross Connection Control (Backflow Prevention)

Cross Connection Approved Backflow Prevention Assembly Lists

The approved list of backflow prevention assemblies is available from the University of Southern California’s Foundation for Cross-Connection Control and Hydraulic Research website located at http://fccchr.usc.edu/list.html.

Please contact our office should you have any questions.

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Small Public Water Systems

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Commercial/Industrial Stormwater Compliance

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EMD Well Program Contact List  Updated 11/07/2019

Well Ordinance (Sacramento County Code Chapter 6.28)
Final, Adopted April 13, 2010

Well Ordinance Enforcement Policy  Updated 09/21/2012

Damaged or Missing Wells  Updated 09/21/2012

Guidelines for Repair and Destruction of Hand-Dug Wells  Updated 09/21/2012

Well Application and Permit Forms Updated 01/17/2020

  • Water Supply Well/Well Repair/Pump Repair & Replacement

    Adobe Acrobat

  • Destruction Water Supply & Monitoring Wells
    Adobe Acrobat

    • Attachment for Multiple Well Destructions  (If there is more than 1 well to be destroyed, use this form for additional wells) 

  • Monitoring Wells & Soil Borings
    Adobe Acrobat

  • Well Inactivation
    Adobe Acrobat

  • Cathodic Protection & Geothermal Wells
    Adobe Acrobat

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