ODW Forms Form Name Main Page Link Request for Resources Capacity Development https://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/D-Resources-Available.docxCommunity Business Operations Plan Waterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2023/04/Community_Business_Operations_Plan_2024.zipNTNC Business Operations Plan Waterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/NTNC-Business-Operations-Plan.zipNTNC EZ Plan Waterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/NTNC-EZ-Plan.zipTNC Business Operations Plan Waterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2020/09/TNC-Business-Operations-Plan.zipAsset Management Plan Checklist Asset Managementhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/09/2018-08-23-AMP-checklist_final_formatted_bem_2.docxVDH Asset Inventory Asset Managementhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/10/VDH-Asset-Inventory-Template.xlsxPlanning & Design Fund Instructions Planning & Design Fund Application and Informationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2020/01/2020-Instructions_Plan-Design-Fund_Draft_FINAL.pdfPlanning & Design Fund Application: (PDF) Planning & Design Fund Application and Informationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/2021-Application_Plan-Design-Fund_Draft.pdfPlanning & Design Fund Application: (Word) Planning & Design Fund Application and Informationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/2021-Application_Plan-Design-Fund_Draft.docxPublic Comments & Set-Aside Form: (PDF) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/A.1-Program-Comment-and-Set-Aside-Suggestion-1.pdfPublic Comments & Set-Aside Form: (Word) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/A.1-Program-Comment-and-Set-Aside-Suggestion-1.docxRefinance Loan Application (PDF) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/05a-Refinance-Purchase-Loan-Application.pdfRefinance Loan Application (Word) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/05a-Refinance-Purchase-Loan-Application.docx1452K Source Water Protection Initiative Application (PDF) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/08a-Source-Water-Applications.pdf1452K Source Water Protection Initiative Application (Word) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/08a-Source-Water-Applications.docxLead Elimination Assistance Program (LEAP) Application (PDF) Lead Elimination Assistance Program (LEAP)TBD Lead Elimination Assistance Program (LEAP) Application (Word) Lead Elimination Assistance Program (LEAP)TBD Lead Elimination Assistance Program (LEAP) Application Instructions Lead Elimination Assistance Program (LEAP)TBD D.1a. Simplified Consumer Notification Additional Lead and Copper Resourceshttps://www.vdh.virginia.gov/content/uploads/sites/14/2022/04/D.1a.-Simplified-Consumer-Notification.docxConstruction Funds Application (PDF) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/04/06a-Construction-Funds-Application-2021-fillable-chkboxes-pdf.pdfConstruction Funds Application (Word) Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/02/06a-Construction-Funds-Application-2021.docxConstruction Funds Application Instructions Drinking Water Funding Program Details & Applicationhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/02/07-Construction-Funds-App_Instructions-2021.docxVDH Water System Questionnaire Information for Waterworks Ownershttps://www.vdh.virginia.gov/content/uploads/sites/14/2018/11/Questionnaire_6-8-15.pdf GW-2 Uniform Water Well Completion Report Well Development Procedureshttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/GW-2-form-fillable-08-19-2016.pdfGW-5 Well Abandonment Form Well Development Procedureshttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/GW-5-Well-Abandonment-Form-fillable_080416.pdfWell Lot Dedication Document Template Well Development Procedureshttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/WellLotDedication.docxHydraulic Modeling Analysis Certification Design Guidance and Reviewhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/Hydraulic-Modeling-Analysis-Certification-fillable.pdfHydraulic Model Data Summary Design Guidance and Reviewhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/Hydraulic-Model-Data-Summary-fillable-_-1.pdfWaterline Review Sheet Design Guidance and Reviewhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/11/Waterline-Review-Checklist.docxAtmospheric Storage Tank Mixer and Aeration Review Sheet Design Guidance and Reviewhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/Tank-Mixing-Aeration-Review-Sheet-fillable-forms.docVDH-ODW Construction Permit Application Permit Program & Waterworks Designhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/02/PM-C5-Attachment-7-Construction-Permit-Application-1.docxGeneral Permit for Construction of Water Distribution Mains Permit Program and Waterworks Designhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/General-Permit-Approval-Process-and-Implementation.pdfVDH-ODW Operation Permit Application Permit Program and Waterworks Designhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/PM-C8-Attachment-15-Operation-Permit-Application-3.docxWell Yield and Recovery Report Well Development Procedureshttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/HTO-007-2015-VDH-Well-Yield-and-Drawdown-Test-Procedures.pdfConsumer Notification Template for Community Waterworks Information for Waterworks Owners https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/D.1.-Consumer-Notification-CWS.rev-1-2022.docConsumer Notification Template for NTNC Waterworks Information for Waterworks Owners https://www.vdh.virginia.gov/content/uploads/sites/14/2020/05/D.2.-Consumer-Notification-NTNC.rev-5-2020.docPublic Education Delivery Certification - Community >3300 https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.1.-Public-Edu-CWS3300-pop-rev-1-2022.docPublic Education Delivery Certification - Community ≤3300 https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.2.-Public-Edu-CWS-3300-pop.docPublic Education Delivery Certification - NTNC Waterworks https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.3.-Public-Edu-NTNC.docWell Yield and Recovery template Well Development Procedureshttps://www.vdh.virginia.gov/content/uploads/sites/14/2022/04/well_yield_and_recovery_report_form-fillable.pdfWP DataTables
