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Financial Assistance

a combined application form (zip) v2.13 in Microsoft Excel 2003 is available for both State and Federal SRF. Please eMail to DDW once complete. If you are using Excel 2007, please convert it to version 2003 so we can open it properly.
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

Project Notification Form (pdf) which can be submitted online. (Please print out your form for your own records before submitting online). We also have an MS Excel (xls) version available. For your convienence, this form can be faxed to our office (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.
Financial Information (pdf) or (xls)
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Disinfection By-Products (DBP) Rule Forms

Groundwater (GW) Rule Forms

4-log Chlorine Contact Report form (xls)

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

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.
- 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)
For Chlorinators (Transient Systems Only)
- Gas Chlorinator, Monthly Report Form
- Hypochlorinator, Monthly Report Form

Public Notification

See Public Notification Templates (.doc & .wpd)

Sanitary Survey Deficiency Reporting

Deficiency Reporting Form ... you can print this out & mail or fax it to us ... or submit it online using Adobe Reader's free interactive features. Contact RichPeterson@utah.gov or John Oakeson if you have questions.
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Data Locations Submittal

Data Locations Form ... you can print this out & mail or fax it to us. Contact Mark Jensen if you have questions.

Last Updated: 2/2/10

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