Drinking Water Protection
Forms
On this page:
Community Water Systems
Noncommunity Water Systems
Drinking Water Revolving Fund
Source Water Protection
Community Water Systems
- Bacteriological/Disinfectant Residual Monthly Report (PDF: 59KB/2 pages)
- Community Fluoridation Grant Application (PDF: 22KB/3 pages)
- Fluoridation & Nitrate or Nitrite Removal Monthly Report (PDF: 31KB/2 pages)
- Fluoridation Phosphate & Nitrate or Nitrite Removal Monthly Report (PDF: 31KB/2 pages)
- Fluoride Monthly Report: Fewer Than 3300 (PDF: 112KB/2 pages)
- Fluoride Monthly Report: Multi Well (PDF: 145KB/2 pages)
- Fluoride Monthly Report: Phosphate (PDF: 71KB/2 pages)
- Fluoride Monthly Report: Single Well (PDF: 108KB/2 pages)
- Plan Review Fee Worksheet (Word document: 41KB/1 page)
- Turbidity Monthly Report: Small Surface Water Systems (PDF: 100KB/2pages)
- Turbidity Monthly Report: Large Surface Water Systems (PDF: 100KB/2pages)
- Turbidity Monthly Report: Membrane Filtration Systems (PDF: 66KB/2pages)
- Water Operator Exam Application (PDF: 164KB/4 pages)
- Water Tank Record for an Event (PDF 62KB/2 pages)
Noncommunity Water Systems
- Plan Review Submittal for Nitrate Removal: Anion Exchange (PDF: 35KB/2 pages)
- Nitrate Monitoring Report (PDF: 55KB/2 pages)
- Disinfection Residual Form for Ground Water Systems (PDF: 24KB/2 pages)
- Public Notification Templates for Noncommunity Water Systems (PDF: 143KB/9 pages)
Drinking Water Revolving Fund
- Environmental Review Step by Step Checklist (Word document: 92KB/2 pages)
- Environmental Review Record Cover Page (Word document: 41KB/1 page)
- Environmental Review Exemption Checklist Requiring Minnesota Historical Society Database Search(Word document: 38KB/1 page)
- Environmental Review and Minnesota Historical Society Exemption Checklist (Word document: 38KB/1page)
- Environmental Review Information Worksheet (Word document: 105KB/10 pages)
- Environmental Review Solicitation Mailing List (Word document: 48KB/2 pages)
- Template Letter to the Minnesota Historical Society (Word document: 16KB/1 page)
