Public Water Supply Section Forms, Reports & Publications

Compliance

• Monthly Operating Report Forms for Systems with Ground Water or Purchased Sources
  • Treatment Facility (Chlorine), DENR 3396A
  • Treatment Facility (Chloramine), DENR 3396B
  • Additional Meter Readings, DENR 3396C
  • Distribution Facility (Chlorine), DENR 3397A
  • Distribution Facility (Chloramine), DENR 3397B
  • Water Usage Report (Purchased Sources), DENR 3398
  • Distribution Facility (Supplemental Fluoridation Monthly Report)
  • MOR Forms Guide
• GPWMOR Application Login
• Ground Water Rule Forms
  • Notification of 4-log Treatment
  • 4-log Compliance Monitoring Form
• Disinfection Byproducts Monthly Operating Reports
  • DENR Form DBP-1 (Chlorine Dioxide and Chlorite)
  • DENR Form DBP-2 (Bromate and Bromide)
  • DENR Form DBP-3 (TOC, one set of samples per monitoring period)
  • DENR Form DBP-3E (TOC, multiple samples per monitoring period)
• Surface Water Treatment Rule
  • Long Term 2 Monitoring Plan - Round 2
• Other Forms
  • DENR Form 3762 (Distribution Bacteriological Analysis) for systems with their own certified bacteriological laboratories and collecting at least 10 samples per month: [pdf] [Excel]
  • SOC Waiver Packet: [pdf] [Word]
  • Acrylamide and Epichlorohydrin Use Certification Form [pdf] [Word]
  • Asbestos Waiver Request and Construction Materials Report Form [pdf] [Word]
• Links to Other Compliance Forms
  • Public Notices
  • Consumer Confidence Reports
  • Lead and Copper Forms

Advisories and Notices

• Pressure Loss Advisory
• Coliform Boil Water Advisory
• E. coli Bacteria Notice
• Do Not Drink Order
• Do Not Use Order
• Public Notices

Plan Review Forms

• Approval Process & Guidelines
  • Approval Process Flow Chart
  • Digital Submittal of Plans and Specifications
  • Engineer's Report for Water Main Extensions (Suggested Template)
  • Partial Final Approvals
  • Project Approval Status - Plan Review and Water System Management Plans
• Forms
  • Application for Plan Approval: [Word] [pdf]
  • Water System Management Plan Forms
  • Engineer's Certification of Project Completion: [Word] [pdf]
  • Applicant Certification of Project Completion: [Word] [pdf]
  • Applicant Certification for Water Main Extensions not Owned by the Supplier of Water: [Word] [pdf]
  • Tank Reconditioning Form [Word] [pdf]
  • Extension/Termination of Authorization to Construct [Word] [pdf]

Water System Management Plans

• WSMP Summary Sheet
• WSMP Certification
• Financial Worksheet 1 (20 Year Equipment Replacement Cost Plan)
• Financial Worksheet 2 (Water System Budget) to estimate cash flow
• Financial Worksheet 3 (5 Year Budget Projection)
• Financial Worksheet for Local Governments (LGC-108c)
• Sample Schedule Guidance
• Sampling Status Report
• Program Reports

Annual Compliance Report

• 2001
• 2002
• 2003
• 2004
• 2005
• 2006
• 2007
• 2010
• 2012
• 2013
• 2014
• 2015
• 2016
• 2017
• 2018
• 2019
• 2020
• 2021
• 2022

Water Resources Research Institute Publications

• Save Yourself Trouble...Booklet for Care Givers/Small Businesses
• Guide for owners of day care centers, schools, factories, and businesses that are non-transient non-community water systems
• To Help You Booklet for Small Churches