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Financial Assistance
- A combined
application form (zip) v3.02 in Microsoft Excel is available for both State and Federal SRF. Please eMail to DDW once complete. - If you want to present your project to the Utah Drinking Water Board during a particular month, please note that certain deadlines apply. Click here to see the Board's schedule.
- In order to receive funding a water management and conservation plan must be submitted. See Utah Division of Water Resources - Conservation Plans for further information.
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Construction of New Facilities and New Public Water Systems
- Project Notification Form v2 (pdf) which can be submitted online. Please print out your form for your own records before submitting online.
Contact Ying-Ying Macauley if you have questions.
- Adobe Reader Users: fill out the form, hit the "Submit by Email" button, and then eMail the xml file to RichPeterson@utah.gov (using the Wizard to create the xml file)
- Adobe Pro Users: fill out the form, save the pdf, and then eMail the pdf file to Ying-Ying Macauley (ymacauley@utah.gov)
- Alternatively, this form can be mailed or faxed to our office at (801) 536-4211 attn: Ying-Ying Macauley
- For new public water systems, please submit both the above Project Notification Form and the New Public Water System Supplemental Form.
(doc)
- fill out the form and then eMail the file to Ying-Ying Macauley (ymacauley@utah.gov)
- Alternatively, this form can be mailed or faxed to our office at (801) 536-4211 attn: Ying-Ying Macauley
- Operating Permit Checklist (pdf)
- Preliminary Evaluation Report Format for NEW Springs and Wells (pdf)
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Capacity Assessment
- Capacity Assessment Worksheets (pdf), which can be submitted online. Please print out your form for your own records before submitting online.
Contact Nagendra Dev if you have questions.
- Adobe Reader Users: fill out the form, hit the "Submit by Email" button, and then eMail the xml file to RichPeterson@utah.gov (using the Wizard to create the xml file)
- Adobe Pro Users: fill out the form, save the pdf, and then eMail the pdf form to Michael Grange (mgrange@utah.gov)
- Alternatively, this form can be mailed or faxed to our office at (801) 536-4211 attn: Nagendra Dev
- Financial Information (pdf) or (xls)
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Disinfection By-Products (DBP) Rule Forms
EPA has a Quick Reference Guide available on their website for Stage 2
- DDBP Charts (xls)
- GW DBPR Quarterly Report (xls)
- Chlorination Questionnaire (xls)
- GW Ozone and ClO2 Report (xls)
- Surface Water Monitoring Plan (xls)
- SW DBPR Quarterly Report (xls)
- For Chlorinators (Transient Systems Only)
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Groundwater (GW) Rule Forms
Disinfection By-Products Phase 2 Rule - IDSE (initial distribution system evaluation) forms are required under the disinfection byproducts phase 2 rule. The four options of the IDSE are Very Small System Waiver, 40/30 certification, System Specific Study (form not included), and Standard Monitoring Form. Choose the correct form according to your system water type, ground water or surface water, and population.
- 40-30 Certification Template (doc) or (pdf)
- Very Small System Template (doc) or (pdf)
- IDSE SMP Template for GW Serving 500 to 9,999 People (doc) or (pdf)
- IDSE SMP Template for GW Serving 10,000 to 49,999 People (doc) or (pdf)
- IDSE SMP Template for SW Serving 500 to 3,300 People (doc) or (pdf)
- IDSE SMP Template for SW Serving 3,301 to 9,999 People (doc) or (pdf)
- IDSE SMP Template for SW Serving 10,000 to 49,999 People (doc) or (pdf)
- Blank IDSE report for Standard Monitoring (doc)
Information Requests (GRAMA)
See Records Request.
Lead and Copper Sampling
- Lead Sampling Summary Sheet (pdf)
- Copper Sampling Summary Sheet (pdf)
- Water Quality Parameter Monthly Report (pdf)
- Lead in Schools Checklist (pdf)
Arsenic Exemption Request
All Community and Transient Noncommunity drinking water systems must comply with a new arsenic standard of 10 ppb by January 1, 2006. An exemption from this requirement may be available, however. To apply for this exemption complete this form and send it to the Division of Drinking Water.
Operation of Existing Water Treatment Facilities
- For Complete Treatment Plants
- Monthly Electronic Report (xls) This is an electronic form for operators of complete treatment plants. It can be completed and e-mailed back to the Division
(updated 11/30/2011) - Disinfection Profiler Spreadsheet (xls) This spreadsheet calculates a disinfection profile for one month. Allows for up to 20 disinfection sequences. It can be used for the following disinfectants: chlorine; chloramines; chlorine dioxide; and ozone.
- For plants on systems serving 10,000 or more, see Interim Enhanced Surface Water Treatment Rule (IESWTR)
- Monthly Electronic Report (xls) This is an electronic form for operators of complete treatment plants. It can be completed and e-mailed back to the Division
Public Notification
Sanitary Survey Deficiency Reporting
- Deficiency Reporting Form. which can be submitted online. Please print out your form for your own records before submitting online.
Contact John Oakeson if you have questions.
- Adobe Reader Users: fill out the form, hit the "Submit by Email" button, and then eMail the xml file to Jennifer Yee (jyee@utah.gov) (using the Wizard to create the xml file)
- Adobe Pro Users: fill out the form, save the pdf, and then eMail the pdf form to John Oakeson (joakeson@utah.gov)
- Alternatively, this form can be mailed or faxed to our office (801) 536-4211 attn: John Oakeson
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Data Locations Submittal
- Data Locations Form. which can be submitted online. Please print out your form for your own records before submitting online. Contact Mark Jensen if you have questions.
- Adobe Reader Users: fill out the form, hit the "Submit by Email" button, and then eMail the xml file to RichPeterson@utah.gov (using the Wizard to create the xml file)
- Adobe Pro Users: fill out the form, save the pdf, and then eMail the pdf form to Mark Jensen (mjensen@utah.gov)
- Alternatively, this form can be mailed or faxed to our office (801) 536-4211 attn: Mark Jensen
Update to Source Protection Template
If you have an updated source protection plan to prepare, the following links for a template and for waiver forms to use to reapply for Use and Susceptibility Waivers are available:
