ADEQ Form DWAR20 (NOI - TREATMENT) "Notice of Intent (Noi) to Provide Treatment for Cryptosporidium (Schedules 1-3 Only) - Long Term 2 Enhanced Surface Water Treatment Rule (Lt2eswtr)" - Arizona

What Is ADEQ Form DWAR20 (NOI - TREATMENT)?

This is a legal form that was released by the Arizona Department of Environmental Quality - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2014;
  • The latest edition provided by the Arizona Department of Environmental Quality;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of ADEQ Form DWAR20 (NOI - TREATMENT) by clicking the link below or browse more documents and templates provided by the Arizona Department of Environmental Quality.

ADVERTISEMENT
ADVERTISEMENT

Download ADEQ Form DWAR20 (NOI - TREATMENT) "Notice of Intent (Noi) to Provide Treatment for Cryptosporidium (Schedules 1-3 Only) - Long Term 2 Enhanced Surface Water Treatment Rule (Lt2eswtr)" - Arizona

1361 times
Rate (4.8 / 5) 82 votes
Long Term 2
Enhanced Surface Water Treatment Rule
(LT2ESWTR)
Notice of Intent (NOI) to provide Treatment for Cryptosporidium
Schedules 1-3 Only
PWS ID Number
PWS Name
Treatment Plant Surface Water (TPSW) Number
TPSW Name
NOTICE OF INTENT
The system may use this form to provide notice to ADEQ or MCESD (if regulated by MCESD), if the
system intends to provide treatment for Cryptosporidium, instead of conducting E. coli or
Cryptosporidium sampling.
Notice of Intent to provide treatment for Cryptosporidium:
• Public Water Systems (PWSs) that choose to provide the maximum level of treatment (5.5 log
of removal/inactivation) for Cryptosporidium rather than start source water monitoring, must
submit written notification to ADEQ or MCESD, no later than [insert due date from checklist].
• Alternatively, a PWS may choose to stop E. coli or Cryptosporidium sampling at any point
after it has initiated sampling if the system provides written notification to ADEQ or MCESD,
stating that the system will provide this level of treatment.
• Systems must notify ADEQ or MCESD as soon as possible after they have elected to provide
treatment. This form is an example of the necessary written notification. PWSs must
install and operate technologies to provide this level of treatment by [insert due date from
checklist], unless an extension is granted in writing by ADEQ or MCESD.
Planned date of treatment compliance:
Planned treatment to achieve compliance:
I understand the treatment requirements that my PWS is required to meet and I am aware that
Yes
No
the deadline for providing treatment is [insert date], unless my PWS requests an extension in
writing to make capital improvements, and ADEQ or MCESD grants the extension in writing.
Yes
No
I have discussed these requirements with an ADEQ or MCESD representative.
Certification of information contained in this form.
Printed Name
Date
Signature
Phone Number
Submit the completed form to the system’s regulatory agency:
LT2 Rule Specialist
Manager
Drinking Water Monitoring and Protection Unit
Safe Drinking Water Program
Arizona Department of Environmental Quality
Maricopa County Environmental Services Department
1110 W. Washington St., Mail Code 5415 B-2
1001 N Central Avenue, Suite 250
Phoenix, AZ 85007
Phoenix, AZ 85004
Fax: 602-771-4634
Desk: 602.506.6935 | Fax: 602.372.0866
lt2rule@azdeq.gov
sdwquestions@mail.maricopa.gov
DWAR 20 (NOI – Treatment)
December 2014
Page 1 of 1
Long Term 2
Enhanced Surface Water Treatment Rule
(LT2ESWTR)
Notice of Intent (NOI) to provide Treatment for Cryptosporidium
Schedules 1-3 Only
PWS ID Number
PWS Name
Treatment Plant Surface Water (TPSW) Number
TPSW Name
NOTICE OF INTENT
The system may use this form to provide notice to ADEQ or MCESD (if regulated by MCESD), if the
system intends to provide treatment for Cryptosporidium, instead of conducting E. coli or
Cryptosporidium sampling.
Notice of Intent to provide treatment for Cryptosporidium:
• Public Water Systems (PWSs) that choose to provide the maximum level of treatment (5.5 log
of removal/inactivation) for Cryptosporidium rather than start source water monitoring, must
submit written notification to ADEQ or MCESD, no later than [insert due date from checklist].
• Alternatively, a PWS may choose to stop E. coli or Cryptosporidium sampling at any point
after it has initiated sampling if the system provides written notification to ADEQ or MCESD,
stating that the system will provide this level of treatment.
• Systems must notify ADEQ or MCESD as soon as possible after they have elected to provide
treatment. This form is an example of the necessary written notification. PWSs must
install and operate technologies to provide this level of treatment by [insert due date from
checklist], unless an extension is granted in writing by ADEQ or MCESD.
Planned date of treatment compliance:
Planned treatment to achieve compliance:
I understand the treatment requirements that my PWS is required to meet and I am aware that
Yes
No
the deadline for providing treatment is [insert date], unless my PWS requests an extension in
writing to make capital improvements, and ADEQ or MCESD grants the extension in writing.
Yes
No
I have discussed these requirements with an ADEQ or MCESD representative.
Certification of information contained in this form.
Printed Name
Date
Signature
Phone Number
Submit the completed form to the system’s regulatory agency:
LT2 Rule Specialist
Manager
Drinking Water Monitoring and Protection Unit
Safe Drinking Water Program
Arizona Department of Environmental Quality
Maricopa County Environmental Services Department
1110 W. Washington St., Mail Code 5415 B-2
1001 N Central Avenue, Suite 250
Phoenix, AZ 85007
Phoenix, AZ 85004
Fax: 602-771-4634
Desk: 602.506.6935 | Fax: 602.372.0866
lt2rule@azdeq.gov
sdwquestions@mail.maricopa.gov
DWAR 20 (NOI – Treatment)
December 2014
Page 1 of 1