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Information for Public Water Systems

Contact DEQ

Regional Office
Water Quality Managers


State Office

Water Quality Division

Don Lee

(208) 373-0289


Drinking Water:

Forms, Checklists, and Worksheets
for Public Water Systems

Address or Ownership Change Monitoring
Consumer Confidence Reporting Plans and Specifications
Grants Public Notification
Loans Security
 

 Address or Ownership Change

Change of Contact Information Electronic Reporting Form

 

 Consumer Confidence Reporting

2007 CCR Template and Instructions (Word)

 

 Grants

A: Application Form and Checklist (pdf) I Word

B: Authorizing Resolution (pdf) I Word
C: Engineering Contract Checklist (pdf)Word
D: Certificate of Negotiation (pdf) I Word
E: Proof of Professional Liability Insurance (pdf) I Word
F: Certification of Financial and Management Capability (pdf) I Word
G: Checklist for Incorporated, Non-Profit Applicants (pdf) I Word
H: Plan of Study Checklist (pdf) I Word
I:  Engineering Report Outline and Checklist (pdf)
J: Outline and Checklist for Environmental Info. Documents (pdf)
K: Outlay Report and Request for Reimbursement for Grant Programs (Excel)
 

 Loans

1.  Application for a State Revolving Loan (pdf form)

2.  Drinking Water Loan Application Supplement (pdf) I Word

3.  Outline and Checklist for Environmental Info. Documents (pdf form)

4.  Outlay Report and Request for Reimbursement for Drinking Water Loans

     (pdf form)

5.  Drinking Water Loan Handbook (pdf) and List of Forms (pdf)
6.  Outlay Report and Request for Reimbursement for ARRA Loans (Excel)
 

 Monitoring

Monitoring Waiver Application (pdf) I Word I Instructions (pdf)

Apply for waiver from monitoring requirements for certain chemical contaminants.

Monitoring Waiver Agreement (pdf) I Word

Document understanding of agreement and sampling requirements.

Synthetic Organic Chemical Use Table (pdf) | Word
 

 Plans and Specifications

Link to Plan and Specification Review Checklists for Engineers and Developers
 

 Public Notification

Download these Word templates and tailor to your needs to provide timely public notices to your customers:

 

Boil Your Water Before Using (English) I Spanish

  Non-Acute MCL Public Notification, Resolved
  Non-Acute MCL Public Notification, Unresolved
Link to EPA's Public Notice Templates for Tier 1, Tier 2, and Tier 3 violations, as well as templates for non-community systems.
Public Notice Certification Form (pdf)
Certify to primary agency that you have met all public notification requirements.
 

 Security

Vulnerability Assessment Certification Form (pdf on EPA Web site) I Instructions

Certify completion of a vulnerability assessment.

Emergency Response Plan Guidance for Small and Medium Community Water Systems (pdf on EPA Web site)

Includes ERP certification form.

Emergency Contact Information Electronic Form

Sign up to receive notifications from DEQ about drinking water emergencies or major disasters that may affect your system.

 



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