Operator Certification Applications, Forms and Tools
Applications
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
Forms
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
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
Tools
O&M Manual Template Guidance for Template
drinkingwater.vermont.gov groundwater.vermont.gov septic.vermont.gov wastewater.vermont.gov VT DEC Drinking Water and Groundwater Protection Division 1 National Life Drive, Main Building, 2nd Floor Montpelier, VT 05620-3521 Telephone toll-free in VT: 800-823-6500 or call 802-241-3400 Fax: 802-828-1541
State of Vermont Agencies & Depts. Access Government 24/7 About Vermont.Gov Privacy Policy