Asbestos

Name	Format	Number
Nontransient Noncommunity Water System Asbestos Waiver	Pdf Format	N/A

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Capacity Development

Name	Format	Number
Technical, Managerial, & Financial Capacity of New Public Community Water Systems	Pdf Format	BSDW-PA 18
Technical, Managerial, & Financial Capacity of New Public Non-Community Water Systems	Pdf Format	BSDW-PA 19

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Consumer Confidence Report

Name	Format	Number
2008 CCR Certification Form	Pdf Format	N/A

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Inspections

Name	Format	Number
Nontransient Noncommunity Water System Inspection Report	Pdf Format	N/A
Transient Noncommunity Water System Inspection Report	Pdf Format	N/A

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N.J. Well Vulnerability Questionnaire (SOC)

Name	Format	Number
Vulnerability Questionnaire	Pdf Format	N/A
Vulnerability Questionnaire Attachments	Pdf Format	N/A

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Operator Certification

Name	Format	Number
Examination Application for License to Operate	Pdf Format	ADM-035
Statement of Qualifications	Pdf Format	ADM 035A
Examination Application for License to Operate a Very Small Water System	Pdf Format	ADM-368A
Statement of Qualifications	Pdf Format	ADM-368B
Licensed Operator in Charge of Employment Notification	Pdf Format	DEP-065

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Physical Connection

Name	Format	Number
Cancellation of Physical Connection Permit or Elimination of Valves from Permit	Pdf Format	BWSWP-PCR
Application Form for Initial Physical Connection Permit	Pdf Format	PCI-145
Initial Physical Connection Test & Maintenance Report	Pdf Format	1PCTMR
Physical Connection Permit - Renewal	Pdf Format	PCR-076
Quarterly Physical Connection Test & Maintenance Report	Pdf Format	QPCTMR

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State Revolving Fund

Name	Format	Number
Sample Commitment Letter FFY2008/SFY2009 Funding Cycle	Pdf Format	N/A
Construction Project Ranking & Non-Project Set-Aside Expenditure Input Form - March 2007	Pdf Format	N/A

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Water Allocation Applications

Name	Format	Number
Water Allocation Permit Application for New or Major Modifications	Pdf Format	BWA-001A
Water Allocation Permit Application for Renewals	Pdf Format	BWA-001B
Water Allocation Permit Application Checklist for Administrative Completeness	Pdf Format	N/A
Temporary Dewatering Application	Pdf Format	BWA-002
Short Term Water Use Permit-By-Rule	Pdf Format	BWA-003
Short Term Water Use Report	Pdf Format	BWA-004
Dewatering Permit-By-Rule	Pdf Format	BWA-005
Contract Approval Application	Pdf Format	BWA-006
Site Location and Property Information Form	Pdf Format	BWA-009
C.E.R.C.L.A. Permit Equivalency Application	Pdf Format	BWA-010
Agricultural Water Usage Certification Application	Pdf Format	AGC-001
Agricultural Water Use Registration	Pdf Format	AGR-002
Water Use Registration Application	Pdf Format	DWR-188
Highlands Water Allocation Application - New or Major Modifications	Pdf Format	BWA-001HL
Highlands Water Use Registration Application	Pdf Format	DWR-188HL

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Water Conservation Plan

Name	Format	Number
Golf Courses/Irrigation	Pdf Format	N/A
Large Volume Users	Pdf Format	N/A
Public Water Supply Systems	Pdf Format	N/A

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Water System Compliance

Name	Format	Number
Drinking Water Analysis - Volatile Organics	Pdf Format	BSDW - 02A
Pesticides, Herbicides, & Other Organics	Pdf Format	BSDW-04
Drinking Water Analysis - Secondary	Pdf Format	BSDW-05
Instructions for Drinking Water Analysis-Secondary	Pdf Format	BSDW-05N
Drinking Water Analysis - Inorganic	Pdf Format	BSDW-05
Iron & Manganese Input Form	Pdf Format	BSDW-06
Lead Analysis Input Form	Pdf Format	BSDW-12
Copper Analysis Input Form	Pdf Format	BSDW-12
QC Data for Hazardous Contaminant Analysis	Pdf Format	BSDW-15
Disinfection Byproduct Precursor Compliance Report	Excel Format	BSDW-20
Instructions for Step One TOC Removal Requirements	Pdf Format	BSDW-20N
Disinfection Byproduct Precursor Compliance Report Continuation Sheet	Excel Format	BSDW-21
IESWTR Turbidity Report	Excel Format	BSDW-22
Instructions for IESWTR Turbidity Report	Pdf Format	BSDW-22N
Individual Filter Exception Report	Excel Format	BSDW-23
Individual Filter Assessment Report	Pdf Format	BSDW-24
Disinfectant Residuals Reporting Form	Excel Format	BSDW-25
Instruction for Disinfectant Residuals Reporting Form	Pdf Format	BSDW-25N
Chlorite & Chlorine Dioxide Report	Excel Format	BSDW-26
Instructions for Chlorite & Chlorine Dioxide Report	Pdf Format	BSDW-26N
Quarterly Total Trihalomethane (THM4) Report	Excel Format	BSDW-27
Instructions for Quarterly Total Trihalomethane (THM4) Report	Pdf Format	BSDW-27N
Quarterly Haloacetic Acid Five Report	Excel Format	BSDW-28
Instructions for Quarterly Haloacetic Acid Five Report	Pdf Format	BSDW-28N
Annual Water Utilization Report (Unaccounted)	Excel Format	BSDW-31
Monthly Operators Report for Ground Water Systems	Excel Format	BSDW-40
Monthly Operating Report for Surface Water Treatment Plant/GWUDISW	Excel Format	BSDW-41
Drinking Water Analysis - Monthly Coliform Summary Report Form - Coliform form for water systems normally reporting 6 or more per month	Word Format	BSDW-50
Instructions for Monthly Coliform Summary Report Form	Pdf Format	BSDW-50N
Drinking Water Analysis - Coliform Samples Report Form - Coliform form for all water systems	Word Format	BSDW-51
Instructions for Coliform Samples Report Form	Pdf Format	BSDW-51N
Nitrate/Nitrite Analysis Input Form	Word Format	BSDW-52
Instructions & Examples for the Nitrate/Nitrite Report Form	Pdf Format	BSDW-52N
Radionuclide Report Form	Pdf Format	DWR 085
Water Quality Parameters Analysis Input Form (Lead & Copper Rule)	Pdf Format	WTP 303
DWR BSDW Drinking Water Analysis - Asbestos	Pdf Format	WSE 014

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Water System Construction Permits

Name	Format	Number
Permit Extension of Time Request	Pdf Format	N/A
Complete Standard Permit Application Form	Pdf Format	N/A
Checklist for Administrative Completeness - Permit Application to Construct/Modify/Operate Public Water Works Facilities	Pdf Format	PA-05
Firm Capacity & Water Allocation Analysis	Pdf Format	PA-05E
General Requirements	Pdf Format	PA-06
Wells - Technical Review Form	Pdf Format	PA-07
Surface Water Supplies - Technical Review Form	Pdf Format	PA-08
Surface Water Treatment Rule - Technical Review Form	Pdf Format	PA-08A
Pump Stations - Technical Review Form	Pdf Format	PA-09
Distribution Systems - Technical Review Form	Pdf Format	PA-10
Master Permit for Main Construction	Pdf Format	PA-10A
Simplified Water Main Extension Certification Form	Pdf Format	PA-10B
Checklist for Determination of Permit Requirements for Water Main Construction	Pdf Format	PA-10DET
Distribution Storage - Technical Review Form	Pdf Format	PA-11
Chemical Handling & Feeding - Technical Review Form	Pdf Format	PA-12
Pretreatment - Technical Review Form	Pdf Format	PA-13
Filtration -Technical Review Form	Pdf Format	PA-14
Aeration - Technical Review Form	Pdf Format	PA-15A
Fluoridation - Technical Review Form	Pdf Format	PA-15F
Packed Column Aeration - Technical Review Form	Pdf Format	PA-15G
Granular Activated Carbon Contractors - Technical Review Form	Pdf Format	PA-15H
Chlorination - Technical Review Form	Pdf Format	PA-16
Ozone Generation & Feeding - Technical Review Form	Pdf Format	PA-17

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Well Permitting

Licensing

Name	Format	Number
Master Well Driller	Pdf Format	N/A
Journeyman/Journeyman B Well Driller	Pdf Format	N/A
Monitoring Well Driller	Pdf Format	N/A
Soil Borer	Pdf Format	N/A
Dewatering Well Driller	Pdf Format	N/A
Pump Installer	Pdf Format	N/A

Well Search

Name	Format	Number
Individual Well Search Questionnaire	Word Format	N/A
Individual Well Search Procedure	Word Format	N/A
Radius Well Search Procedure	Pdf Format	N/A
Radius Well Search Form	Pdf Format	N/A

Well Construction/Decommissioning

Name	Format	Number
Well Abandonment Report Form	Pdf Format	N/A
Well Permit Cancellation Form	Pdf Format	N/A
Blanket 2” Well Decommissioning Approval Form	Pdf Format	N/A
Blanket 2” Well Decommissioning Cover Letter	Pdf Format	N/A
Well Construction Deviation Form	Pdf Format	N/A

Well Drilling Licensing Form

Name	Format	Number
Well Driller License Address Update Form	Pdf Format	N/A

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