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Potable Water Programs

Forms and Information

The Northeast District has created this page to provide a centralized location for frequently used forms, rules and guidance documents. Additional information may be found at the Department's Water Resource Management website.  If you have any additional questions a Northeast District Potable Water employee will be glad to assist you.



Bacteriological Information

Monitoring Information PDF Word
Lab Reporting Forms PDF Word
Monthly Sample Plan PDF Word
Quarterly Sample Plan PDF Word
Notice for Acute Bacteriological Maximum Contaminant Level Exceedance PDF Word
Notice for Non-Acute Bacteriological Maximum Contaminant Level Exceedance PDF Word
Certification of Delivery of Public Notice PDF Word
Preventing bad bacteriological results via sealing and venting wells PDF Word
Precautionary Boil Water Notice Model See Public Notices
Precautionary Boil Water Notice Recission Model See Public Notices
Precautionary Boil Water Notice Guidelines See Public Notices
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Capacity Analysis Report

Capacity Analysis Report Guideline PDF N/A
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Capacity Development

New Water System Capacity Development Manual PDF Website
Capacity Development Plan - 62-555.900(20) PDF Word
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Chemical Information

Asbestos-Free Certification or Asbestos Sampling Plan for Potable Water Systems - 62-555.900(10) PDF Word
List of Certified Laboratories PDF Word
Drinking Water Maximum Contaminant Levels List PDF Excel
Laboratory Reporting Format for Chemical Analysis - 62-550.730(1)(b) PDF Word
Synthetic Organic Contaminants Waiver - 62-560.545(2) PDF Word
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Consumer Confidence Reports

Consumer Confidence Report Rule - 40 CFR 141, Subpart O PDF N/A
Consumer Confidence Report Template N/A Word
Certification of Delivery of Consumer Confidence Report - 62-555.900(19) PDF N/A
Certification of Delivery of Consumer Confidence Report Information to Supplied Systems - 62-555.900(21) PDF Word
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Cross Connection Control

Plan Samples PDF Word
Questions, Answers & Illustrations PDF N/A
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Directions

Department of Environmental Protection Northeast District Office PDF Word
Department of Health Lab PDF NA
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Disinfection Byproducts

Disinfectant Residual Report Format PDF Word
Disinfection Byproducts Report Format PDF Word
Stage 1 D/DBPR Monitoring Plan Example PDF Word
DPD Chlorine Test Kit See Test Kit Suppliers Below
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Lead and Copper

Sampling Plan for Lead and Copper Tap Samples and WQPs - 62-555.900(12) PDF Word
Lead and Copper Rule 40 CFR 141, Subpart I PDF N/A
Lead and Copper Tap Sample Analysis and Result Ranking 62-550.730(4)(a) PDF Word
Water Quality Parameters Reporting Format - 62-550.730(4)(c) PDF Word
Lead Public Education Program Report 62-555.900(17) PDF Word
Public Education Information for Community Water Systems (CWS) PDF Word
Public Education Information for Non-Transient Non-Community (NTNC) Water System PDF Word
Certification of Notification of Lead and Copper Tap Sample Results 62-555.900(16) PDF Word
Corrosion Control Test Kits See Test Kit Suppliers Below
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Miscellaneous

Example Equipment List PDF Word
Hypocholorination Information PDF Word
Potable Water System (PWS) Definitions PDF Word
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Monthly Operation Reports

Consecutive Systems (no treatment) - 62-555.900(4) PDF Word
Consecutive from a Subpart H - 62-555.900(6) PDF Word
Flouridation - 62-555.900(5) PDF Word
Raw Ground Water or Purchased Finished Water - 62-555.900(3) PDF Word
Subpart H - 62-555.900(2) N/A Excel
Summation for Multiple Plants - 62-555.900(11) PDF Word
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Permit Forms

Application to Construct Potable Water System Components - 62-555.900(1) PDF Word
Application for Transfer of a Potable Water System construction Permit - 62-555.900(8) PDF Word
Certification of Construction Completion form - 62-555.900(9) PDF Word
General Permit for Corrosion Control, or Sequestration - 62-555.900(18) PDF Word
General Permit for Water Main Extensions for Potable Water Systems - 62-555.900(7) PDF Word
Permitting Approval Information PDF Word
Well Approval Information PDF Word
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Public Notice

Precautionary Boil Water Notice Guidelines Website
PDF
Word
Precautionary Boil Water Notice Model N/A Word
Precautionary Boil Water Notice Recission Model N/A Word
Public Notification Requirements PDF Word
Nitrate Maximum Contaminant Level Public Notice N/A Word
Problem Corrected Notice N/A Word
Certification of Delivery of Public Notice PDF Word
Standard Health Effects Language for Public Notification 40CFR141 Subpart Q, App.B PDF N/A
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Requirements

Community Water System Chemical Sampling (Population greater than 10,000) PDF Word
Community Water System Chemical Sampling (Population 3,300 to 10,000) PDF Word
Community Water System Chemical Sampling (Population less than 3,300) PDF Word
Community Water System Minimum Requirements PDF Word
Non-Transient Non-Community Chemical Sampling PDF Word
Non-Transient Non-Community Minimum Requirements PDF Word
Transient Non-Community Requirements PDF Word
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Rules

* Complete Listing of Department of Environmental Protection Rules *
62-4: Permits PDF WORD
 (table)
62-521: Wellhead Protection PDF N/A
62-532: Water Well Permitting and Construction Requirements PDF N/A
62-550: Drinking Water Standards, Monitoring, and Reporting PDF N/A
62-555: Permitting and Construction of Public Water Systems PDF N/A
62-560: Requirements for Public Water Systems that are Out of Compliance PDF N/A
62-602: Drinking Water and Domestic Wastewater Treatment Plant Operators PDF N/A
62-699: Treatment Plant Classification and Staffing PDF Word
FS403 Part VI: Drinking Water PDF Word
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Test Kit Suppliers

Non-endorsement note:
The following is a partial list of companies that provide test kits for potable water. DEP does not endorse any of the companies listed below, and a company’s absence from this list does not imply prejudice.
DPD Chlorine Test Kits
 
Corrosion Control Test Kit
  LaMotte (please scroll to bottom of linked page to view kit)

Water Resource Program Highlights

Last updated: October 10, 2007
  FDEP - Northeast District - Contact

7825 Baymeadows Way, Suite B200, Jacksonville, Florida 32256   904-807-3300 (phone) / 904-448-4366 (fax)
Contact Us

For critical after hours emergencies call the
State Warning Point Number:  1-800-320-0519

 
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