Alabama Department of Environmental Management

 

Drinking Water Forms and Other Guidance

• Application for Approval to Use a Water Supply Well
  ADEM Form 259
  (27KB File in Microsoft Excel 97 format)
• Chemical Monitoring Waiver Application
  ADEM Form 336
  (17KB File in Microsoft Excel 97 format)

• Chemical Monitoring Report Form
  ADEM Form 335
  (36KB File in Microsoft Excel 97 format)
• Consumer Confidence Certification Information
• Filter Plant Monthly Operational Data Report
  ADEM Form 242
  (17KB File in Microsoft Excel 97 format)
• Groundwater System Monthly Operational Data Report
  ADEM Form 8
  (77KB File in Microsoft Excel 97 format)
• Lead and Copper Report
  ADEM Form 405
  (19KB File in Microsoft Excel 97 format)
• Laboratory Certification Form
  ADEM Form 442
  (29KB File in Microsoft Word 97 format)
• Notification of Intent to Drill a Water Well
  ADEM Form 60
  (137KB File in pdf format)
• Progress Report Form
  ADEM Form 443
  (27KB File in Microsoft Word 97 format)
• Project Completion Form
  ADEM Form 444
  (28KB File in Microsoft Word 97 format)
• Purchase Water System Monthly Operation Report
  ADEM Form 185
  (35KB File in Microsoft Excel 97 format)
• Public Notification Certification (Community)
  ADEM Form 345
  (25KB file in Microsoft Word 97 format.)
• Public Notification Certification (Non-Community)
  ADEM Form 420
  (25KB file in Microsoft Word 97 format.)
• Surface Water Treatment Plant Monthly Operation Data Report
  ADEM Form 242
  (69KB file in Microsoft Excel 97 format.)
• Segmental Water System Certification Application
  ADEM Form 456
  (79KB file in Microsoft Word 97 format.)
• Water Supply Construction Application
  ADEM Form 488
  (63KB File in Microsoft Word 97 format)
• Water Supply Permit Modification Application
  ADEM Form 489
  (36KB File in Microsoft Word 97 format)
• Water Supply Permit Renewal Application
  ADEM Form 490
  (51KB File in Microsoft Word 97 format)
• Water System Information Update
  ADEM Form 491
  (25KB File in Microsoft Word 97 format)
• Application for Alabama Well Driller's License
  ADEM Form 193
  (104KB File in pdf format)

• CT Profiling Spreadsheet
  ADEM Form 535
  (481KB File in Microsoft Excel 97 format)

• Water Treatment Plant Quarterly Report for the Disinfectants and Disinfections Byproducts Rule
  ADEM Form 547
  (481KB File in Microsoft Excel 97 format)

•  

Other Guidance
 

• Bacteriological Site Sampling Plan
  (23KB File in Winzip format)

• Cross Connection Control Policy
  (628KB File in Winzip format)

• Design Guidance (December 1998)
  (212KB File in Microsoft Word 97 format)

• Engineering Report Summary Sheet
  (21KB File in Microsoft Word 97 format)

• Increasing Filtration Rates (December 2000)
  (32KB File in Microsoft Word 97 format)

• Operator Certification Information Link

• Sanitary Survey Record Review Checklist
  (20KB File in Microsoft Word 97 format)

• Water Conservation Guidelines and Sample Plan
  (56KB File in Microsoft Word 97 format)

• Disinfection Byproduct Monitoring Plan for Purchase Systems
  (73KB File in Microsoft Word 97 format)

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