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 submitting 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) PDF / Word
- Core Data Form (for new systems) (TCEQ-10400)
- Public Water System Plan Review Submittal Form (TCEQ-10233) PDF / Word
- Financial Ability Form (TCEQ-20841) PDF / Word
- Sanitary Control Easement Form (TCEQ-20698) PDF / Word
The three distribution forms below are NEW and voluntary at this time. During this period of voluntary use, open until April 12, 2026, TCEQ is seeking feedback on the forms. Following the feedback period and finalization, the forms will be required items in the submittal process. If you would like to provide feedback on the use of these forms, please email PTRS@tceq.texas.gov.
- Notification of Political Subdivision (TCEQ-21036) PDF
- Non-Significant Change Notification (TCEQ-21037) PDF
- Water System Distribution Plan Review Submittal (TCEQ-21038) PDF
Checklists
- As-Built Plan Checklist PDF / Word
- Chemical Storage and Feed Facilities Checklist PDF / Word
- Chloramine Checklist PDF / Word
- Corrosivity Engineering Report PDF
- Disinfection Checklist PDF / Word
- Interconnection Between Two Public Water Systems Checklist PDF / Word
- Membrane Construction Checklist - Step 1 PDF / Word
- Membrane Use Checklist - Step 2 PDF / Word
- New Proposed Public Water System Checklist PDF / Word
- Pressure Tank Construction Checklist PDF / Word
- Proposed Public Water Supply Well/Spring - Step 1 PDF / Word
- Surface Water Plant Checklist - Step 1 PDF / Word
- Surface Water Plant Checklist - Step 2 PDF / Word
- Surface Water Source and Intake Checklist PDF / Word
- Water Distribution Construction Checklist PDF / Word
- Water Hauler Use Checklist PDF / Word
- Water Storage Tank Construction Checklist PDF / Word
- New Version: Well Completion Data Checklist For Approval To Use - Step 2 PDF / Word
Effective June 1, 2023, the Well Completion Data Checklist for Approval to Use (Step 2) requires raw water free ammonia sampling. Please refer to the checklist for additional information and guidance on sample analysis.
Suggested Construction Notes to Support Plan Review
Including these items will help ensure plans and specifications include all the necessary information and reduce the likelihood of having to resubmit plans.
- Hydropneumatic Pressure Tank PDF / Word
- Proposed Water Well PDF / Word
- Water Distribution System PDF / Word
- Water Storage Tank PDF / Word
Guidance and Well Information
- Evaluating Regionalization for Potential New Public Water Systems (RG-551)
- PE and Driller Requirements
- Pressure Cementing
- PVC Casing for Water Wells
- Restriction on the Use of Bentonite
- Required Bacteriological Samples when a Well Pump is Repaired or Replaced
Contact Us
For additional information, please email PTRS@tceq.texas.gov or call 512-239-4691.