Submission Requirements: New (or Existing Unapproved) Water Supply System
System Name:
Submission Date:
General Submissions
Included Comments
Drinking Water System Application form
Chemical water analysis
Bacterial water analysis
Detailed site map
Schematic of existing system (where applicable)
Schematic of proposed construction
Manufacturers Information and Specifications
(for all proposed (and unapproved) equipment)
Source to Tap Screening Tool
Application for Construction Permit OR
Request for Construction Permit Waiver
Emergency Response and Contingency Plan
Case Specific Submissions
Included
Comments
Proof of Operator Training (i.e. course certificate)
Water license (surface water sources)
Well log (ground water sources)
Cross Connection Control Plan
Maintenance and Operating Procedures
Source Protection Plan
Assessment Response Plan
Hydrogeological Report
Additional documents (specify in comments)