Florida Administrative Code › 62 - DEPARTMENT OF ENVIRONMENTAL PROTECTION › 62 - Departmental › Chapter 62-555 - PERMITTING, CONSTRUCTION, OPERATION, AND MAINTENANCE OF PUBLIC WATER SYSTEMS › Section 62-555.900 - Forms and Instructions

Current through Reg. 50, No. 138; July 16, 2024
The forms used by the Department in the Public Water System
				  Supervision Program are listed below by form number and name. Each form has
				  been incorporated into the rule that references it. Copies of these forms may
				  be obtained by writing to the Department of Environmental Protection, Source
				  and Drinking Water Program, M.S. 3520, 2600 Blair Stone Road, Tallahassee,
				  Florida 32399-2400. In addition, these forms are available at the Department of
				  Environmental Protection's district offices, at the Approved County Health
				  Departments, and on the Department of Environmental Protection's web site at
www.dep.state.fl.us
. Persons and
				  public water systems shall report to the Department using the forms listed
				  below or using computer-generated versions of the forms listed below provided
				  such versions are identical to the forms listed below in every respect other
				  than font type and style, font size, and character spacing.
(1) Application for a Specific Permit to
				Construct PWS Components, effective August 28, 2003.
(2) Monthly Operation Report for Subpart H
				Systems, effective October 14, 2004.
(3) Monthly Operation Report for PWSs
				Treating Raw Ground Water or Purchased Finished Water, effective August 28,
				2003.
(4) Monthly Operation Report
				for Consecutive Systems that Do Not Treat Water, effective August 28,
				2003.
(5) Monthly Operation Report
				for PWSs Fluoridating Water, effective August 28, 2003.
(6) Monthly Operation Report for Consecutive
				Systems that Receive Purchased Finished Water from a Subpart H System,
				effective April 3, 2003.
(7) Notice
				of Intent to Use the General Permit for Construction of Water Main Extensions
				for PWSs, effective August 28, 2003.
(8) Application for Transfer of a PWS
				Construction Permit, effective August 28, 2003.
(9) Certification of Construction Completion
				and Request for Clearance to Place Permitted PWS Components into Operation,
				effective August 28, 2003.
(10)
				Asbestos-Free Certification or Asbestos Sampling Plan for PWSs, effective
				August 28, 2003.
(11) Monthly
				Operation Report for Summation of Finished-Water Production by CWSs that Have
				Multiple Treatment Plants, effective August 28, 2003.
(12) PWS Sampling Plan for Lead and Copper
				Tap Samples and Water Quality Parameters, effective August 28, 2003.
(13) Form
				 62-555.900(13),
				Cross-Connection Control Program Annual Report, effective 5-5-14, incorporated
				by reference in paragraph
				 62-555.360(2)(b),
				F.A.C.
(14) Deleted.
(15) Deleted.
(16) PWS Certification of Notification of
				Lead and Copper Tap Sample Results, effective October 1, 2010.
(17) Lead Public Education Program Report for
				PWSs, effective October 1, 2010.
(18) Notice of Intent to Use the General
				Permit for Construction of Lead or Copper Corrosion Control, or Iron or
				Manganese Sequestration, Treatment Facilities for Small or Medium PWSs,
				effective August 28, 2003.
(19)
				Form number  62-555.900(19),
				Certification of Delivery of Consumer Confidence Report, effective April 10,
				2003.
(20) New Water System
				Capacity Development Financial and Managerial Operations Plan, effective August
				28, 2003.
(21) Form number
				 62-555.900(21),
				Certification of Delivery of Consumer Confidence Information to Supplied
				Systems, effective April 10, 2003.
(22) Form number
				 62-555.900(22),
				Certification of Delivery of Public Notice, effective
				1-17-05.
Rulemaking Authority
					 403.8055,
					 403.861,
					 403.861(9) FS.
					 Law Implemented 367.031,
					 403.0877,
					 403.861,
					 403.8615
					 FS.
New 1-18-89, Amended 1-3-91, Formerly 17-555.900, Amended
					 12-10-96, 9-22-99, 4-3-03, 4-10-03, 8-28-03, 10-14-04, 1-17-05, 10-1-10,
					 5-5-14.