Iowa DNR, Water Supply Engineering Section
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Public Water Supply Construction Permits
Water Supply Engineering (WSE)
Roy Ney, Senior Engineer
Telephone: 515-725-0360
Roy.Ney@dnr.iowa.gov

A public water supply construction permit must be obtained from IowaDNR prior to the construction or modification of any source, treatment, storage or distribution system of a public water supply. To obtain a construction permit plans and specifications, along with the applicable construction permit application forms and fees must be submitted to the IowaDNR. Listed below are all potentially applicable forms.

A new Water Supply Construction Manual is now available, with instructions for participating in the Drinking Water State Revolving Fund.

Water Supply Construction Manual DOC PDF
Water Supply Construction Manual, Updated 2-09 DOC File Format PDF File Format
Water Supply Permitting Flow Charts   PDF File Format
Exhibit 1: Planning and Design Loans, Updated 2-09 DOC File Format PDF File Format
Exhibit 2: PER Checklist DOC File Format PDF File Format
Exhibit 3: Intended Use Plan Application, Updated 2-09 DOC File Format PDF File Format
Exhibit 4: SRF Environmental Review Checklist DOC File Format PDF File Format
Exhibit 5: SRF Environmental Review Public Notice Example DOC File Format PDF File Format
Exhibit 6: SRF Environmental Review Public Hearing Checklist DOC File Format PDF File Format
Exhibit 7: Instructions for Compliance with SRF Cross-Cutters-Bidding and Procurement Process, Updated 2-09 DOC File Format PDF File Format
Exhibit 7A: SRF Required Front-End Specifications, Updated 2-09 DOC File Format PDF File Format
Exhibit 8: DWSRF Extended Financing Worksheet, Updated 2-09 DOC File Format PDF File Format
Exhibit 9: SRF Bid Document Checklist, Updated 2-09 DOC File Format PDF File Format
Exhibit 10: SRF Construction Loan Fact Sheet, Added 2-09 DOC File Format PDF File Format


Schedule 1a, requesting general information, and Schedule 1c , the fee calculation form along with applicable fee, must be provided with all applications for a construction permit. The other forms (schedule 2a through 16d) are required based upon the nature of the project (e.g. water mains or well construction). The Water Supply Service Agreement form is required for all projects where the applicant is someone other than the supplier of the water.

If you have any questions concerning construction applications contact Roy Ney at 515/725-0360 or Roy.Ney@dnr.iowa.gov.


NEW - There is now a reference document available that contains a defined procedure and checklist which can be used to help understand and meet the compliance requirements for the installation of public water supply test and observation wells. This procedure and checklist can be found in the DNR Program Implementation and Guidance (PIG) document 5-c-15 referenced below:

Test Well and Observation Well Guidance and Procedures for Drilling Projects Related to Public Water Supplies; IDNR Program Implementation Guidance (PIG) Document 5-c-15 PDF File Format


The forms below, are available in either PDF and .doc file format. If needed you may download Adobe Acrobat Reader by selecting the Acrobat symbol below. You can then return to this site and view the applications. Download Adobe Acrobat Reader Here

The files are also provided in a word document format. Additionally, You may obtain copies of the application forms by sending your name, address, and a list of forms required, to Roy Ney at Suite M, 401 SW 7th St., Des Moines, IA 50309-4611 or Roy.Ney@dnr.iowa.gov.


  Form # *.doc *.pdf
Water Supply Service Agreement   Word File Format PDF File Format
Schedule 1a, General Information 542-3178 Word File Format PDF File Format
Schedule 1b, Minor Water Main Construction Permit 542-3151 Word File Format PDF File Format
Schedule 1c, Fee Calculation 542-3179 Word File Format PDF File Format
Schedule 2a, Water Mains - General 542-3030 Word File Format PDF File Format
Schedule 2b, Water Mains-Specifications 542-3031 Word File Format PDF File Format
Schedule 2c, Notification of Minor Water Main Construction 542-3152 Word File Format PDF File Format
Schedule 3a, Water Systems 542-3032 Word File Format PDF File Format
Schedule 3b, Source Information 542-3029 Word File Format PDF File Format
Schedule 3c, Water Quality Data 542-3028 Word File Format PDF File Format
Schedule 4, Site Approval 542-3078 Word File Format PDF File Format
Schedule 5a, Well Construction 542-3027 Word File Format PDF File Format
Schedule 5b, Well Appurtenances 542-3026 Word File Format PDF File Format
Schedule 5c, Well Profile 542-3077 Word File Format PDF File Format
Schedule 5d, Surface Water Supply 542-3139 Word File Format PDF File Format
Schedule 7, Schematic Flow Diagram 542-3142 Word File Format PDF File Format
Schedule 8, Aeration 542-3143 Word File Format PDF File Format
Schedule 9, Clarification 542-3144 Word File Format PDF File Format
Schedule 10, Suspended Solids Contact 542-3145 Word File Format PDF File Format
Schedule 11, Cation Exchange Softening 542-3146 Word File Format PDF File Format
Schedule 12, Filters 542-3147 Word File Format PDF File Format
Schedule 13a, Chemical Addition 542-3241 Word File Format PDF File Format
Schedule 13b, Dry Chemical Addition 542-3130 Word File Format PDF File Format
Schedule 13c, Gas Chloration 542-3131 Word File Format PDF File Format
Schedule 13d, Fluordation 542-3132 Word File Format PDF File Format
Schedule 13e, Sampling and Testing 542-3133 Word File Format PDF File Format
Schedule 14, Pumping Station 542-3134 Word File Format PDF File Format
Schedule 15, Process Water Storage Facilities 542-3135 Word File Format PDF File Format
Schedule 16a, Wastewater General 542-3136 Word File Format PDF File Format
Schedule 16b, Waste Treatment Ponds 542-3137 Word File Format PDF File Format
Schedule 16c, Filtration and Mechanical 542-3138 Word File Format PDF File Format
Schedule 16d, Discharge to Sewer 542-3103 Word File Format PDF File Format

 

Free Adobe Acrobat Download

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