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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

  • Cementing Certificate (TCEQ-20842) application/pdfPDF / WordWord
  • Core Data Form (for new systems) (TCEQ-10400)
  • Public Water System Plan Review Submittal Form (TCEQ-10233) application/pdfPDF / WordWord
  • Financial Ability Form (TCEQ-20841) application/pdfPDF / WordWord
  • Sanitary Control Easement Form (TCEQ-20698) application/pdfPDF / WordWord


  • As-Built Plan Checklist application/pdfPDF / WordWord
  • Chemical Storage and Feed Facilities Checklist application/pdf PDF / WordWord
  • Chloramine Checklist  application/pdfPDF / WordWord
  • Corrosivity Engineering Report application/pdfPDF 
  • Disinfection Checklist application/pdfPDF / WordWord
  • Interconnection Between Two Public Water Systems Checklist  application/pdfPDF / WordWord
  • Membrane Construction Checklist - Step 1 application/pdfPDF / WordWord
  • Membrane Use Checklist - Step 2 application/pdfPDF / WordWord
  • New Proposed Public Water System Checklist application/pdfPDFWordWord
  • Pressure Tank Construction Checklist  application/pdfPDF / WordWord
  • Proposed Public Water Supply Well/Spring - Step 1  application/pdfPDF / WordWord
  • Surface Water Plant Checklist - Step 1  application/pdfPDF / WordWord
  • Surface Water Plant Checklist - Step 2  application/pdfPDF / WordWord
  • Surface Water Source and Intake Checklist  application/pdfPDF / WordWord
  • Water Distribution Construction Checklist  application/pdfPDF / WordWord
  • Water Hauler Use Checklist  application/pdfPDF / WordWord
  • Water Storage Tank Construction Checklist application/pdfPDF / WordWord
  • Well Completion Data Checklist For Approval To Use - Step 2  application/pdfPDF / WordWord

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.

  • Hydropneumatic Pressure Tank  application/pdfPDF / WordWord
  • Proposed Water Well  application/pdfPDF / WordWord
  • Water Distribution System  application/pdfPDF / WordWord
  • Water Storage Tank  application/pdfPDF / WordWord

Guidance and Well Information

Contact Us

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