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Forms and Checklists for Submitting Plans or Specifications for Public Water Systems

For submitting plans or specifications for review, please use the following forms and checklists:

If you want to submit your plans for review, please see the Information on how to make your Plan Review Submittal for additional help.

Forms and Instructions

  • Public Water System Plan Review Submittal Form (TCEQ-10233) (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Sanitary Control Easement Form (TCEQ-20698) (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Core Data Form (for new systems) (TCEQ-10400)
  • Cementing Certificate (TCEQ-20842) (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Financial Ability Form (TCEQ-20841) (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document

Checklists

  • NEWFixed Generator Emergency Power Requirements Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Chemical Storage and Feed Facilities Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Disinfection Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Surface Water Plant Checklist - Step 1 (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Surface Water Plant Checklist - Step 2 (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Surface Water Source and Intake Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Interconnection Between Two Public Water Systems Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Chloramine Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Membrane Construction Checklist - Step 1 (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Membrane Use Checklist - Step 2 (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Water Distribution Construction Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Pressure Tank Construction Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Checklist for a Proposed Public Water Supply Well/Spring (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Public Well Completion Data Checklist For Interim Approval (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Water Storage Tank Construction Checklist (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document

Suggested Construction Notes to Support Plan Review

Including these items will help you ensure your plans and specifications include all the necessary information and will reduce the likelihood that you will need to resubmit your plans.

  • Water Storage Tank (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Hydropneumatic Pressure Tank (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Proposed Water Well (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document
  • Water Distribution System (Revision Date 02/2019) PDFAdobe Acrobat PDF Document / WordMicrosoft Word Document

External Guidance

  • NEW Evaluating Regionalization for Potential New Public Water Systems (Revision Date 8/15/2019) PDFAdobe Acrobat PDF Document
  • Engineering Report Outline (Revision Date 8/15/2019) PDFAdobe Acrobat PDF Document
  • As-built Plan Submittal Criteria (Revision Date 4/20/2019) PDFAdobe Acrobat PDF Document
  • PE and Driller Requirements (Revision Date 8/13/2019) PDFAdobe Acrobat PDF Document
  • Pressure Cementing (Revision Date 8/13/2019) PDFAdobe Acrobat PDF Document
  • Pump Test for Public Water Wells (Revision Date 8/13/2019) PDFAdobe Acrobat PDF Document
  • PVC Casing for Water Wells (Revision Date 6/13/2019) PDFAdobe Acrobat PDF Document
  • Restriction on the Use of Bentonite (Revision Date 8/13/2019) PDFAdobe Acrobat PDF Document

Contact Us

For more information, please e-mail or call us at 512-239-4691.

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