Drinking Water Forms

Engineering Plan  Forms

• Checklists for Drinking Water Engineering Plans
• Drinking Water Plan Review Invoice (PDF)
• Longitude/Latitude Form (PDF)
• Public Water System Classification Form (PDF)
• Water System Inventory form (MS Word) (PDF)
• Water System Inventory Form Field Guide (PDF)

Public Water System Forms

• CCR Certification (PDF)
• DBR Reporting Forms [MS Excel]
• DNR (Department of Natural Resources) Water Forms (well log and decommissioning forms)
• Endorsed Protection Plan-Small Systems(PDF)
• Priority Measures Plan Certification Form (PDF)
• RTCR Level 1 Assessment Form (PDF 1.5MB)
• RTCR Seasonal Startup Procedures – GW Systems (PDF)
• RTCR Seasonal Startup Procedures – SW/GWUDI Systems (PDF)
• RTCR Seasonal Startup Procedures – Rain Catchment Systems (PDF)
• Sample siting plan template for systems operating year-round (PDF)
• Sample siting plan template for systems operating seasonally (PDF)
• Sanitary Survey and Inspection Invoice (PDF)
• SOC Monitoring Waiver Renewal Application
• SOC Monitoring Waiver Initial Application Form and Instructions (PDF)
• Vulnerability Assessment and Emergency Response Plan Certification Form (PDF)
• Tier 1 Public Notice templates for Community (CWS) and Non-Transient Non-Community (NTNC) Systems (DOC)
• Tier 2 Public Notice templates for Community (CWS) and Non-Transient Non-Community (NTNC) Systems (DOC)
• Tier 3 Public Notice templates for Community (CWS) and Non-Transient Non-Community (NTNC) Systems (DOC)
• Tiers 1-3 Public Notice templates for Transient Non-Community (TNC) Systems (DOC)