Dear Homeowner, The Fairview Township Water Authority is required by Department of Environmental Protection to complete a same site location plan for lead and copper. This plan includes a material evaluation of the water distribution. Your residence was constructed when lead was used in the plumbing. We ask that you please take a few minutes to complete the below questionnaire and return it to us. Thank you in advance for your assistance in this matter. Address of Property Interior Plumbing: Copper Galvanized Plastic PEX The service line to your house: Copper Plastic Galvanized Plumbing Replacement Has interior plumbing been replaced after 1991? Yes No Date of replacment if interior plumbing was replaced after 1991 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Leave this field blank