Drinking Water System Change Application

Form Template

Rules Relating to Drinking Water state that “No new construction, addition, or alteration involving the source, treatment, or storage of water in any system shall be commenced until the plans and specifications have been submitted to and approved in writing by the Department (DHHS).In order for the Drinking Water Program (DWP) to review a water system change proposal, pertinent information must be made available to properly review the request.

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To avoid numerous individual requests for information, this application was created to request all necessary information at once. When requesting review and approval of water system change, please complete this application and provide applicable information as requested. Not all questions on this application will apply to your project. If a question or request for information is not applicable to the project being reviewed, simply note this on the application. The Drinking Water System Change Application mobile app allows you to replace your paper application with an iPhone, Android, tablet or Windows desktop computer. The mobile form includes fields to document items such as date, public water system (pws) name, the person completing, address and DWP PWS inspector. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your water treatment records. You can also use the App Builder to personalize and customize this mobile form.

Features
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Platforms
  • iPhone
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