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2002
Notice of Lead Exceedance Test Results in Plumbing - Municipal Residential and Non-Municipal Year Round Residential Drinking Water Systems (O. Reg 170/03 Schedule 15.1)In accordance with the Drinking Water Systems Regulation (O. Reg 170/03), Schedule 15.1, the following drinking water systems are required to take plumbing and distribution samples and to have the samples tested for Lead by a licensed laboratory: • Large Municipal residential systems • Small Municipal residential systems • Non-municipal year round residential systems.5357
Emission Summary And Dispersion Modelling Report ChecklistTo ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted in the Emission Summary and Dispersion Modelling Report.4444
Notice of Adverse Test Results and Issue Resolution (Schedule 16)Filled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters.012-2133
Water Wastewater Operator Certification System User Access RequestComplete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).012-2160
Director Approved Continuing Education Reassessment and Instructor Assessment ApplicationComplete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course012-1806
Well Record Request Individual Well Record – Form AThis search request form is required to obtain copies of individual water well records i.e. a copy of the actual Well Record as submitted by the Well Contractor at the time of construction.012-2104
Statement of Completion – Electricity ProjectsThis form is completed by a proponent and submitted to the Director of the Environment Assessment Branch to formalize the completion of the Environmental Screening Process.012-6609
Request for Regulatory Relief From Lead Sampling RequirementsThis forms part of the expedited process for existing municipal and non-municipal drinking water systems applying for regulatory relief in accordance with s. 38 and s.60 of the Safe Drinking Water Act (SDWA), from strict sampling requirements for lead and other parameters under Schedule 15.1 of Regulation 170/03 (Drinking Water Systems).5391
Notice of Exemption from Treatment Equipment1) This notice applies to a Non-Municipal Year Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraph 4 or 5 of subsection 2(2) of O. Reg. 170/03, to obtain water from a raw water supply that is ground water under the direct influence of surface water. 2) Before exemptions from treatment can come into effect, a Well Technician's Notice must be provided to the Ministry of the Environment and Climate Change.012-2130
Examination RegistrationComplete this form to register for any water or wastewater certification examination. If applying for an Operator-in-Training (OIT) exam, you may also request to have your OIT certificate(s)/licence(s) issued using this form.012-2144
Registration as a Voluntary Participant in the Cap and Trade ProgramThis form is to be used by persons who are eligible to apply and who wish to apply for registration as a voluntary participant in the cap and trade program pursuant to Part IV of O.Reg 144/16 The Cap and Trade Program Regulation made under the Climate Change Mitigation and Low-carbon Economy Act, 2016 (the “Cap and Trade Regulation”).5392
Well Technician's NoticeThis Notice only applies to a Non-Municipal Year-Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraphs 4 or 5 of Section 2(12), section 2 of O. Reg. 170/03, to obtain water from a raw water supply that is ground water under the direct influence of surface water.012-2153
Schedule C – Director's Directions for Operational Plans (Subject System Description Form)This form is part of the Director's Directions for Operational Plans. These directions provide instructions respecting the preparation and content of operational plans prepared by owners of municipal residential drinking water systems pursuant to subsection 16(2) of the Safe Drinking Water Act, 2002, and where otherwise required under the Act. A completed copy of this form is required to be included in every operational plan.012-2105
Statement of Completion – Transit ProjectsThis form is completed by a proponent and submitted to the Director of the Environmental Assessment Branch and the Regional Director to formalize the completion of the Transit Project Assessment Process.012-2103
Statement of Completion – Waste Management ProjectsThis form is completed by a proponent and submitted to the Director of the Environmental Assessment Branch to formalize the completion of the Environmental Screening Process.5393
Advice to the Director of Posting (Warning) Notice(s)This notice applies to a Drinking Water System only if the system does not use electricity and does not serve any building or other structure that also uses electricity.012-2131
Change of Address NotificationComplete this form to notify the Program Administrator of the Ontario Water Wastewater Operator Certification Program of your change of address.012-2136
Drinking Water Certificate and Wastewater Licence ApplicationComplete this form to request the issuance of a drinking water operator, water quality analyst or wastewater operator certificate/licence.012-2030
Summary of Planned and Completed Pesticide Aerial ApplicationsA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a summary of applications for each extermination. This is the form to maintain this summary.
