Iowa DNR, Water Supply Operations
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Public Drinking Water Program
Public Water Supply Operation

Anne Lynam, Environmental Specialist
Telephone: 515-725-0280, anne.lynam@dnr.state.ia.us


IDNR Public Water Supply Report forms:

Listed below are reporting forms used by public water supplies to report information to IDNR Water Supply Operation Section and/or the department's Field Offices.

MORS: Form # *.xls *.pdf
Monthly operation reporting form for large surface water and influenced groundwater treatment facilities serving over 10,000 people. 542-8030 thru 34 XLS File Format PDF File Format
Small (<10,000) Surface Water & IGW monthly operation report form 542-8100 thru 07 XLS File Format PDF File Format
Consecutive surface water monthly operation report form 542-8110 XLS File Format PDF File Format
Monthly operation report form for water supplies which are not surface water or influenced groundwater systems 542-3104 XLS File Format PDF File Format
Consecutive ground water monthly operation report forms 542-8099 XLS File Format PDF File Format


Other forms and guidance: *.doc *.pdf
Groundwater Monitoring Plan Disinfectants and Disinfection Byproduct Sampling Plan Form: Monitoring Plan Disinfectants and Disinfection Byproduct Rule DOC File Format PDF File Format
Bacterial Sampling Plan Requirements Form: Public Water Supply Bacterial Sampling Plan Requirements for Systems Collecting One Monthl DOC File Format PDF File Format
Lead and copper 90th percentile calculation Form: Calculating or Determining the 90th Percentile during Initial, Follow-up, Routine, and Reduced   PDF File Format
Water well abandonment reporting form: Abandoned Water Well Plugging Record, Form# 542-1226 DOC File Format PDF File Format


Consumer confidence report guidance and templates:
  • US EPA has designed software applications to help water suppliers create their consumer confidence reports; CCRWriter (off-site)

  • To obtain a copy of IAMU's template, contact Anne.Lynam@dnr.state.ia.us


Public Notice Information:
Instructions (templates) and required language for notifying the public of monitoring and MCL violations.

 

Free Adobe Acrobat Download

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