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