Annual Pumpage/Usage Reporting Form in Microsoft Word or Adobe Acrobat

Community water supplies that do not submit a monthly operation report must submit a report of annual water pumpage and use to the DEQ district office by March 31 of each year.

Cross Connection Reporting Form in Microsoft Word or Adobe Acrobat

Community water supplies must report annually on the status of their cross connection program to the DEQ district office
by March 31 of each year.

Bacteriological Sampling Site Plan

Water supplies must have a current sampling site plan detailing sampling locations for routine and follow-up
bacteriological monitoring.

For supplies that serve more than 1,000 people in Microsoft Word or Adobe Acrobat

For supplies that serve 1,000 or fewer people in Microsoft Word or Adobe Acrobat

Lead and Copper Reporting Form in Microsoft Word or Adobe Acrobat

Water supplies must report lead and copper monitoring information to the DEQ district office immediately following lead and copper sampling.

CCR Certification Form in Microsoft Word or Adobe Acrobat

Community water supplies must submit a certificate to the DEQ district office immediately following delivery of the annual
Consumer Confidence Report confirming that the CCR is correct and has been distributed as required.

DEQ districts serving Community Water Supplies

Addresses of the 8 DEQ district offices overseeing community water supplies and the counties they serve.

DEQ district map with telephone numbers of DEQ staff that oversee the community water supply program and the counties they serve.