Submittal Forms For
Wastewater Systems Plan Review
The forms and publications listed below are now available for downloading as a print-only PDF file when
you click on the form number. You may also request a hard copy of any of these forms or publications by contacting the
applicable DNR wastewater systems plan reviewer.
FORMS
Form Number: 3400-105
Title: Acknowledgment of Receipt by DNR
Form Number: 3400-160
Title: Fast-Track Project Approval Request and Approval Letter
Form Number: 3400-59
Title: Sanitary Sewer Extension Submittal
Form Number: 3400-95
Title: Sewer Specification Checklist
Form Number: 3400-168
Title: Lift Station Design Checklist
The following three forms are available from the Forms and Publications Environmental Loans Section:
Form Number: 8700-293
Title: Plan of Operation Certification Checklist
Form Number: 8700-310
Title: Wastewater Collection System Operation and Maintenance Manual Certification Checklist
Form Number: 8700-311
Title: Wastewater Treatment Facility Operation and Maintenance Manual Certification Checklist
For information on forms for water main or water treatment facilities see
Community Water Systems
- Plan Review Process.
Last Revised: Thursday December 28 2006
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