Forms: Division of Drinking Water

Electronic Forms


Capacity Assessment

  • Capacity Assessment Worksheets
    Can be submitted online. Print out your form for your records before submitting online. Alternatively, thpis form can be mailed to our office or faxed to (801) 536-4211, Attn: Nagendra Dev.

Adobe Reader Users
Fill out the form, select the “Submit by Email” button, and Email the xml file to Rich Peterson (using the Wizard to create the xml file). Note: If you are using the Chrome browser, the Adobe Reader plug-in won’t work. Use Internet Explorer or open the PDF in Adobe Reader directly.

Adobe Pro Users
Fill out the form, save the PDF, then Email the PDF file to Michael Grange.

  • Financial Information: PDF | XLS

See also Capacity Development Introduction.

Contact Nagendra Dev if you have questions.


Construction of New Facilities and New Public Water Systems (Plan Review)

Capacity and Sizing

Hydraulic Modeling

Operating Permit

Plan Review

Approval of Standards for Water Line Installation

Source Development

Seasonal Start-up

Treatment

Water Hauling


Data Locations Submittal

  • Data Locations Form
    Can be submitted online by clicking the Submit Form button in Adobe Acrobat (Reader or Pro versions). Note: open the PDF in Adobe Acrobat directly.  Alternatively, this form can be mailed to our office or faxed to (801) 536-4200.

Contact Mark Jensen with questions.


Deficiency Reporting (Sanitary Survey)

Adobe Reader Users
Fill out the form, select the “Submit by Email” button, and Email the xml file to DDWIPS@utah.gov (using the Wizard to create the xml file). Note: If you are using the Chrome browser, the Adobe Reader plug-in won’t work. Use Internet Explorer or open the PDF in Adobe Reader directly.

Adobe Pro Users
Fill out the form, save the PDF, then Email the PDF file to DDWIPS@utah.gov.

See also Sanitary Survey.

Contact us at DDWIPS@utah.gov with questions.


Disinfection By-Products (DBP) Rule

The EPA has a Quick Reference Guide available for Stage 2.


Operator Certification

  • To Update Contact Info:
    For operators and water systems. If you have a new phone number, email address, or have recently moved, use this form to let us know how best to reach you. We require written notification of contact info changes. Reach us at (801) 536-4200 to get started.

Financial Assistance

See also Construction Assistance.


GRAMA Information Requests

See Records Request.


Groundwater (GW) Rule


Lead and Copper Sampling


Public Notification

See Public Notification Templates.


Source Protection

If you have an updated source protection plan to prepare, the following links for a template and for waiver forms to use to reapply for Use and Susceptibility Waivers are available:


Water Treatment Facilities (Operational Reports)

For complete treatment plants: