Due to the coronavirus (COVID-19) we are taking additional safety measures to protect our employees and customers and are now working remotely while focusing on keeping our normal business processes fully functional. You may now submit permit applications, forms, and fee payments through our new online form to expedite its receipt and review with our new General Online Intake Form: https://anronline.vermont.gov/?formtag=DWGWPD_Intake
Please download the form you need from the links below and attach the completed form as a PDF to the General Online Intake Form.
PFAS Do Not Drink public notice template
Boil Water Notice
- Boil Water Notice Template
- E. coli MCL template and Instructions
- Public Notice Certification
- Boil Water Procedure (Signed 10/8/2018)
It is the responsibility of the water system to make sure that all users are aware of what is going on with their water system and that their health is being protected in the response of actual or potential system contamination. Following an E. coli MCL violation, unconfirmed E. coli detection if repeat samples cannot be collected within 24 hours, emergencies, depressurization, certain repairs, unauthorized bulk water hauling, and other issues that may arise and adversely impact health of system users, a boil water notice will be required. In some instances, the Division will mandate a system distribute notice to users to boil water prior to any consumptive use; water systems must implement a boil water notice if there is a chance that the sanitary quality of the water in the water system has been compromised in any way. Not every repair completed at a water system requires a boil water notice or notifying the Division. Repairs that adhere to AWWA Standard C-651 or approved equally-protective approach minimizes the potential for contamination and does not require a boil water notice to be distributed.
Hand delivery of the notice to every user as soon as a situation arises is often the best method, but other options such as Front Porch Forum, Facebook, E-mail, website posting, press releases and enrollment of the water system and its users in the VT-Alert system may all be used in conjunction with direct delivery to ensure every user is informed in a timely manner. No matter what method or methods are used, the system needs to be confident that the notice has reach all users of the system.
The water system must coordinate with the Division in order to document that public health is being protected prior to lifting the boil water notice. Results of total coliform analysis, showing that the system is absent of bacteria are required to document that the system is free of contamination. The number of samples and timing of samples must be worked out with the Division prior to sampling.
Operations Permit Applications
- Permit to Operate Application for Community Systems, NTNC Systems, and TNC Systems that Require an Individual Permit
- Permit to Operate Application for Wholesaler / Consecutive Public Water Systems
- *NEW* Notice of Intent (NOI) to Operate Subject to the 2020 General Operating Permit
- *NEW* 2020 General Operating Permit for Class 1A and 1B Public TNC Drinking Water Systems
Operator Certification
- Certified Operator Application (Class 2, 3, 4 & D)
- Certified Operator Renewal Application (Class 2, 3, 4 & D)
- Application for Class 1A/1B Vermont Water System Operator
- Statement regarding Child Support and VT Taxes
Sampling-Based Forms and Applications
- Phase II/V Monitoring Waiver Application
- Lead and Copper Rule
- Corrosion Control Treatment (CCT) Recommendation Guidance including CCT Recommendation Form
- Lead public education template (“Important Information About Lead in Your Drinking Water”)
- Lead Participant Tap Notification
- Lead and Copper Sampling Plan
- Lead and Copper Sampling Plan Guidance
- Alternate Lead and Copper Monitoring Schedule Application
- Revised Total Coliform Rule (RTCR)
- RTCR Coliform Sampling Plan & Guidance 1,000 or Under Population
- RCTR Coliform Sampling Plan & Guidance Greater than 1,000 Population
- Groundwater Seasonal Start-Up Form
- Surface Water Seasonal Start-Up Form
- RTCR Level 1 Assessment Form
- Disinfection By-products (DBPs)
- DBP Sampling Form (Online Form)
- DBP Sampling Form (PDF)
- Operational Evaluation Report
- LT2 Sampling Plan Form
Administrative Forms
- Water System Officials Contact Form
- Consecutive System Exemption Application
- Public Water Supply Survey Form
- Public Notice Certification Form
- Bulk Water Hauling as an Emergency Form and Guidance
- Extended Period- Bulk Water Hauling as an Emergency Source (to submit weekly)
Operating Reports
- Monthly Operations Report for Filtered Surface Water Systems
- Instructions for Monthly Operations Report for Filtered Surface Water Systems
- Monthly Operations Report for Groundwater and Systems Purchasing Water
Construction Permits
- Construction Permit Application
- Construction Permit Application Instructions
- Expedited Project Review Guidance
- (Draft) Evaluating Water System Hydraulics
Source Permit/Source Documents
- Source Water Permit Application Process Overview (Read first)
- Source Water Permit Applications
- Source Testing Review Application
- Groundwater Withdrawal Application
- Well ID Sheets
- Avoidance of Filtration for Surface Water and GWUDI of Surface Water
- Certification of Water Source Likely Affected by Agricultural Lands
- GWUDI Exemption
- GWUDI Exemption Application
- Guidance
- Laboratories performing Microscopic Particulate Analysis (MPA) Testing
- Source Water Protection "How To"
- Checklist for Completing a Source Water Protection Plan
Operation and Maintenance Manuals
Long Range Plan Templates
- Long Range Plan Template for Community Water Systems
- Long Range Plan Template for NTNC Water Systems
File Transfer Protocol (FTP) Instructions and Cover Sheet NEW