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Public Water System Forms and Applications

Electronic Submissions of Source and Construction Permit Applications, Bottled Water Applications, Operator Certification Renewal:
To the maximum extent possible, we are asking systems to submit documents and fee payments electronically.  As much of our staff are working remotely, there have been disruptions to incoming paper mail processes. For source and construction permit applications, bottled water documents, and operator certification renewals and payments, you may now submit documents and fee payments through our new online DWGWPD General Intake Form to expedite their receipt and review. See these Instructions for assistance using the form. 

Electronic Submission of Other Documents:
To the maximum extent possible and for the time being, we are asking systems to submit all other documents electronically as well.  This includes sampling plan forms, public notice documents, sanitary survey response letters, and water quality results, to name a few.  These documents should be emailed to the responsible staff who will process the documents accordingly. For a listing of Division staff and their respective responsibilities, the staff contact information can be found online here. If the attachment is too large for an email, please use our Division File Transfer Protocol portal. The instructions on how to access this portal can be found here. The cover sheet for submissions can be found here

E-mailing of Monthly Operations Reports:
While Division staff are working remotely, a new temporary process has been established to email your MOR to  This process was outlined in an April 28 2020 email.  Use of this email to submit an MOR is not required but strongly encouraged.  We ask that you submit each Monthly Report as its own PDF.  Please do not send Word or Excel documents.  You may submit multiple PDFs per email, so long as the email is not too big to send. We ask that you name the PDF based on information below in order to help our processing of the Reports:  “WSID, month the report covers, a word or a few words from water system’s name”

Important Note: Please follow the below instructions for MOR submission if you are are not already doing these steps:

  • Send the PDF(s) as an attachment to an email message, to:
  • We accept MORs in PDF format -- 1 report (and 1 month and 1 WSID #) per PDF file. (Do not send links to files, Excel docs or Word docs).
  • Please use this naming convention in labeling the PDF: WSID number + the month covered by the report + a word or two of the water system name. Example: 30700 Jan Twin Pines (The year of the MOR is not needed in the label)
  • Please put WSID numbers (at the least) in subject line of message.
  • If you are making a correction to a previously submitted MOR, please indicate that in the PDF’s label.
  • If the above is not possible, please use a different method of MOR submittal (i.e., Fax or US Mail).
  • Please do not submit a MOR by more than one method (example:  if you submit a MOR by email, please do not also submit that same MOR by US Mail or fax).  This is to avoid duplication.

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

*Note: Please be aware that other VT Agency of Natural Resources (ANR) permits may be needed for your project and it is your responsibility to secure any other required permits.  To help assist in determining whether other VT ANR permits that might be needed, ANR recommends that you use VT ANR’s Permit Navigator Tool by going to the VT Department of Environmental Conservation website (   In addition, please be aware that your project may require other local, state, or federal permits outside of VT ANR’s jurisdiction which are not covered by the VT ANR Permit Navigator Tool.  Failure to secure all necessary permits in advance of construction can result in significant impacts to your project’s final scope and can take additional processing time* 

File Transfer Protocol (FTP) Instructions  and  Cover Sheet NEW

Request for Electronic Reporting Waiver