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Operator Certification Applications, Forms and Tools


Operating Permit Application
Certified Operator Application (Class 2, 3, 4 & D)
Statement regarding Child Support and VT Taxes
Certified Operator Renewal Application (Class 2, 3, 4 & D)
Class 1a1b (TNC) Certified Operator Application
Avoidance of Filtration for Surface Water and GWUDI of Surface Water
Phase II/V Monitoring Waiver Application
         Renewal Application


Water System Officials Contact Form
Public Water Supply Survey Form
Public Notice Certification Form
Lead and Copper Sampling Plan
Lead and Copper Sampling Plan Guidance
Bacteriological Sampling Plan & Guidance Less than 1000 Population
Bacteriological Sampling Plan & Guidance Greater than 1000 Population
Bulk Water Hauling as an Emergency Form and Guidance
Monthly Operations Report for Filtered Surface Water Systems
Monthly Operations Report for Groundwater and Systems Purchasing Groundwater

Boil Water Notice Forms

Issuing and Rescinding a Boil Water Notice
Boil Water Notice Template for General use
Boil Water Notice Acute (E. coli) MCL Template and Instructions
Boil Water Notice Non- Acute MCL Template and Instructions
Boil Water Notice Lifted Form

Non-Boil Water Notice Forms

MCL Violation Non-Boil Template and Instructions
Corrective Action Guidance
Tier 3 Public Notice Form & Guidance


O&M Manual Template
Guidance for Template



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Telephone 802-828-1535    Fax: 802-828-1541


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