DDW-2024-014023

Please complete this form and provide to the Division of Drinking Water within 24 hours of issuing public
notice.
CERTIFICATION OF PUBLIC NOTIFICATION
I ___Wade L. Staples______________ certify that the attached public notice was issued from
(PWS Operator/Responsible Party)____Elk Ridge Estates____ to ___All Property Owners_____.
The notice attached was issued by (Date) ___11/22/2024__for the GWR fecal indicator E. coli positive(s)
that occurred on_____11/20/2024_____.
(Describe method of delivery – by hand, mail, etc) _Text Messaging E-Mail Posting at Entrance of
Subdivsion__
Signature __________________________________________ Date _____11/22/2024 ___
Public Water System Name: __Elk Ridge Estates Water PWS ID Number: 13042_