"Surface Water Capacity Reporting Form" - Connecticut

Surface Water Capacity Reporting Form is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.

Form Details:

  • The latest edition currently provided by the Connecticut State Department of Public Health;
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  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.

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Download "Surface Water Capacity Reporting Form" - Connecticut

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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
DRINKING WATER SECTION
Surface Water Capacity Reporting Form
Public Water System Name:
PWSID:
Treatment Water Facility Name:
Treatment WSFID:
Week of:
Date of form completed:
Total
Instantaneous
Percent
Usable
Usable
Water
Full
Source WSFID
Storage
Storage
Source Water Facility Name
Elevation
(%)
(MG)
(MG)
(ft.)
A
B
(B/A)x100
Total:
0.00
0.00
Average daily production from the Treatment Plant (MGD):
0.00
Days of Supply Remaining (days):
Weekly Precipitation (inches):
0.00
Total Withdrawals of All Reservoirs (MG):
0.00
Drought Status:
None
Approaching Trigger Level
Drought Stage, if checked describe below.
Clear Form
Save Form
Email completed form to:
DPHWaterSupplyCapacity@ct.gov
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
DRINKING WATER SECTION
Surface Water Capacity Reporting Form
Public Water System Name:
PWSID:
Treatment Water Facility Name:
Treatment WSFID:
Week of:
Date of form completed:
Total
Instantaneous
Percent
Usable
Usable
Water
Full
Source WSFID
Storage
Storage
Source Water Facility Name
Elevation
(%)
(MG)
(MG)
(ft.)
A
B
(B/A)x100
Total:
0.00
0.00
Average daily production from the Treatment Plant (MGD):
0.00
Days of Supply Remaining (days):
Weekly Precipitation (inches):
0.00
Total Withdrawals of All Reservoirs (MG):
0.00
Drought Status:
None
Approaching Trigger Level
Drought Stage, if checked describe below.
Clear Form
Save Form
Email completed form to:
DPHWaterSupplyCapacity@ct.gov