Mga Form ng ODW

 

Pangalan ng FormPangunahing PahinaLink
Humiling ng
para sa Mga Mapagkukunan
Pag-unlad ng Kapasidad https://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/D-Resources-Available.docx
Community
Business Operations Plan
Waterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2023/04/Community_Business_Operations_Plan_2024.zip
NTNC Business Operations PlanWaterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/NTNC-Business-Operations-Plan.zip
Plano ng NTNC EZWaterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/NTNC-EZ-Plan.zip
TNC Business Operations PlanWaterworks Business Operations Planhttps://www.vdh.virginia.gov/content/uploads/sites/14/2020/09/TNC-Business-Operations-Plan.zip
Checklist ng Asset Management PlanPamamahala ng Assethttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/09/2018-08-23-AMP-checklist_final_formatted_bem_2.docx
Imbentaryo ng Asset ng VDHPamamahala ng Assethttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/10/VDH-Asset-Inventory-Template.xlsx
Pagpaplano at Disenyo
Mga Tagubilin sa Pondo
Aplikasyon at Impormasyon ng Pondo sa Pagpaplano at Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2020/01/2020-Instructions_Plan-Design-Fund_Draft_FINAL.pdf
Aplikasyon ng Pondo sa Pagpaplano at Disenyo: (PDF)Aplikasyon at Impormasyon ng Pondo sa Pagpaplano at Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/2021-Application_Plan-Design-Fund_Draft.pdf
Aplikasyon ng Pondo sa Pagpaplano at Disenyo: (Word)Aplikasyon at Impormasyon ng Pondo sa Pagpaplano at Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/2021-Application_Plan-Design-Fund_Draft.docx
Mga Pampublikong Komento at Set-Aside Form: (PDF)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/A.1-Program-Comment-and-Set-Aside-Suggestion-1.pdf
Mga Pampublikong Komento at Set-Aside na Form: (Word)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/A.1-Program-Comment-and-Set-Aside-Suggestion-1.docx
Refinance Loan Application (PDF)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/05a-Refinance-Purchase-Loan-Application_2026-03-22.pdf
Refinance Loan Application (Word)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/05a-Refinance-Purchase-Loan-Application_2026-03-22.docx
1452K Source Water Protection Initiative Application (PDF)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/08a-Source-Water-Applications_2026-03-23.pdf
1452K Source Water Protection Initiative Application (Word)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2019/01/08a-Source-Water-Applications_2026-03-23.docx
Aplikasyon ng Lead Elimination Assistance Program (LEAP) (PDF)Lead Elimination Assistance Program (LEAP)TBD
Aplikasyon ng Lead Elimination Assistance Program (LEAP) (Word)Lead Elimination Assistance Program (LEAP)TBD
Lead Elimination Assistance Program (LEAP) Application
Mga Tagubilin
Lead Elimination Assistance Program (LEAP)TBD
Construction Funds Application (PDF)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/04/06a-Construction-Funds-Application-2021-fillable-chkboxes-pdf.pdf
Aplikasyon ng Mga Pondo sa Konstruksyon (Salita)Mga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/02/06a-Construction-Funds-Application-2021.docx
Mga Tagubilin sa Application ng Construction FundsMga Detalye at Aplikasyon ng Programa sa Pagpopondo ng Tubig sa Pag-inomhttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/02/07-Construction-Funds-App_Instructions-2021.docx
Talatanungan ng VDH Water SystemImpormasyon para sa mga May-ari ng Waterworkshttps://www.vdh.virginia.gov/content/uploads/sites/14/PM-C10-Attachment-1-Potential-Waterworks-Questionnaire_Fillable.pdf
GW-2 Ulat sa Pagkumpleto ng Uniform Water WellMga Pamamaraan sa Well Developmenthttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/GW-2-form-fillable-08-19-2016.pdf
GW-5 Well Abandonment FormMga Pamamaraan sa Well Developmenthttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/GW-5-Well-Abandonment-Form-fillable_080416.pdf
Well Lot Dedication Document TemplateMga Pamamaraan sa Well Developmenthttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/WellLotDedication-508c.docx
Sertipikasyon ng Pagsusuri ng Hydraulic ModelingGabay at Pagsusuri sa Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/Hydraulic-Modeling-Analysis-Certification-fillable.pdf
Buod ng Data ng Hydraulic ModelGabay at Pagsusuri sa Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/Hydraulic-Model-Data-Summary-fillable-_-1.pdf
Waterline Review SheetGabay at Pagsusuri sa Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/11/Waterline-Review-Checklist.docx
Atmospheric Storage Tank Mixer at Aeration Review SheetGabay at Pagsusuri sa Disenyohttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/07/Tank-Mixing-Aeration-Review-Sheet-fillable-forms.doc
VDH-ODW Construction Permit ApplicationPrograma ng Pahintulot at Disenyo ng Waterworkshttps://www.vdh.virginia.gov/content/uploads/sites/14/2023/04/PM-C5-Attachment-4-Construction-Permit-ApplicationCertification-1.docx
Pangkalahatang Pahintulot para sa Konstruksyon ng mga Mains sa Pamamahagi ng TubigPrograma ng Permit at Disenyo ng Waterworkshttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/General-Permit-Approval-Process-and-Implementation.pdf
VDH-ODW Operation Permit ApplicationPrograma ng Permit at Disenyo ng Waterworkshttps://www.vdh.virginia.gov/content/uploads/sites/14/2021/03/PM-C8-Attachment-15-Operation-Permit-Application-3.docx
Well Yield and Recovery ReportMga Pamamaraan sa Well Developmenthttps://www.vdh.virginia.gov/content/uploads/sites/14/2016/04/HTO-007-2015-VDH-Well-Yield-and-Drawdown-Test-Procedures.pdf
D. 1 a. Pinasimpleng Notification ng ConsumerKaragdagang Lead at Copper Resourceshttps://www.vdh.virginia.gov/content/uploads/sites/14/2023/04/D.1a.-Simplified-Consumer-Notification2024.docx
Template ng Notification ng Consumer para sa Community WaterworksImpormasyon para sa mga May-ari ng Waterworks https://www.vdh.virginia.gov/content/uploads/sites/14/2025/05/D.1.-Consumer-Notification-CWS.rev-3-2025.docx
Template ng Notification ng Consumer para sa NTNC WaterworksImpormasyon para sa mga May-ari ng Waterworks https://www.vdh.virginia.gov/content/uploads/sites/14/2025/06/D.2.-Consumer-Notification-NTNC.rev-3-2025.docx
Sertipikasyon sa Paghahatid ng Pampublikong Edukasyon - Komunidad >3300https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.1.-Public-Edu-CWS3300-pop-rev-1-2022.doc
Sertipikasyon sa Paghahatid ng Pampublikong Edukasyon - Komunidad ≤3300https://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.2.-Public-Edu-CWS-3300-pop.doc
Sertipikasyon sa Paghahatid ng Pampublikong Edukasyon - NTNC Waterworkshttps://www.vdh.virginia.gov/content/uploads/sites/14/2022/01/E.3.-Public-Edu-NTNC.doc
Well Yield at Recovery templateMga Pamamaraan sa Well Developmenthttps://www.vdh.virginia.gov/content/uploads/sites/14/2022/04/well_yield_and_recovery_report_form-fillable.pdf
Huling Na-update: Mayo 31, 2024