Public Water System Forms and Applications

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:
Please see instructions for the form here.

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 and public notice instructions - (as fillable PDF)

PFAS Do Not Drink public notice template and public notice instructions - (as editable word .docx)

Boil Water Notice

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

Operator Certification

Sampling-Based Forms and Applications

Administrative Forms

Operating Reports

Construction Permits

Source Permit/Source Documents

Operation and Maintenance Manuals

Long Range Plan Templates

File Transfer Protocol (FTP) Instructions  and  Cover Sheet NEW

Request for Electronic Reporting Waiver