Drinking Water Forms
Drinking Water Permitting and Engineering
Application and Modification Forms
- Click Here for More Information on Drinking Water Permitting Processes
- Application for a Permit to Operate a Public Water System (MS Word) [Revised April 2024]
- Drinking Water Project Submittal [Revised April 2017]
- Wellhead Protection: New Well / Spring Application [Revised Feb. 2024]
- Public Water System Water Conservation Questionnaire (MS Word) [Revised Jan 2004]
- Business Plan For Public Water Systems (Appendix A) [Revised Jan. 2000]
- Well Completion Data Form [Revised November 2014]
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Surface Water Checklist #1 - New Surface Water Treatment Plant *NEW*
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Surface Water Checklist #2 - Submission of Engineering Report *NEW*
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Surface Water Checklist #3 - Submission of Pilot Studies *NEW*
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Surface Water Checklist #4 - Submission of Engineering Plans *NEW*
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Northern Groundwater and Purchase Water System Permitting Checklist [Revised June 2023]
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Southern Groundwater and Purchase Water System Permitting Checklist [Revised June 2023]
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High Rate Study Data Submittal Form *NEW FORM*
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Step Dose Tracer Test Data *NEW FORM*
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Tracer Study Report *NEW FORM*
Drinking Water Laboratory Services
- Drinking Water Analyses Terms and Conditions (effective 7/1/2023)
- Analytical Fee Schedule (effective 7/1/2023)
- Request to Change Water System Inventory or Laboratory Services Form
- Water Sample Shipping Case Request
Drinking Water Compliance
Application Forms
Revised Total Coliform Rule (RTCR) Forms
- Level I Assessment Form [Effective April 1, 2016]
- Level II Assessment Form [Effective April 1, 2016]
- Seasonal System Start-Up Procedure and Checklist [Effective April 1, 2016]
Sanitary Survey for Public Water Systems
- Surface Water Sanitary Survey for Public Water Systems [Revised May 2001]
- Surface Water System Description (Part B) Sanitary Survey for Public Water Systems [Revised May 2001]
- Ground/Purchased Water Sanitary Survey for Public Water Systems [Revised January 2017]
Treatment Plant Monthly Operating Report Forms
- Surface Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Nov 2005]
- Ground Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Nov 2022]
- Membrane Plant Monthly Operating Report Forms (Excel Format) [Revised June 2008]
- Purchased Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Nov 2022]
Disinfection Byproducts (TTHM & HAA5) Report Forms
- Stage 2 DBP Monitoring Plan {Revised Jan. 2015]
- Compliance Determination: Treatment Technique for DBP Precursor Removal (TOC Removal Report) [Revised Dec 2003]
- Stage 2 DBPR Operational Evaluation Guidance Manual
- Stage 2 DBPR Operational Evaluation Report for Ground Water Systems
- Stage 2 DBPR Operational Evaluation Report for Surface Water Systems
- Stage 2 DBPR Operational Evaluation Report for Consecutive Systems
- Operational Evaluation Level Calculation Form
Certifications for Drinking Water
- Consumer Confidence Report Certification [Revised August 2023] *Updated*
- Certification of Public Notice
Laboratory Certification
- Application for Reciprocity
- Application for In-State Microbiology Certification
- Guide to Georgia's Laboratory Certification Program