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Water System Operators

Small Drinking Water System Form

Notification to Operate or Re-open a Small Drinking Water System

By completing this form, you are fulfilling your legal responsibility to notify Public Health of your intent to supply water following construction, installation, alteration/extension or a shut-down of more than 60 days. This form may also be used for new systems.

If using a phone, please use landscape mode to complete this form

Please note required fields are marked with an * Asterisk.

*Select the following that applies to your SDWS






Owner Information

"Owner" means a person who is the legal or beneficial owner of all or part of the system. As the owner, I understand that I will also be considered the operator unless I designate another person as operator.

* Is owner and operator information the same?

Operator Information

"Operator" means a person designated by the SDWS owner who is responsible for system maintenance, sampling, testing, and corrective action.

SDWS Information


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* Recent water sample result is satisfactory


(for alteration/construction)
Please upload a copy of the lab result
* Business Type


















*

The information on this notification form is collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990 c.H.7.O Section 5 and applicable privacy legislation. This information will be used for delivery of public health services and may be used for statistical purposes. Additional information on the collection of personal information is available on our website. If you have questions about the collection of this information, please contact our Privacy Officer in writing at: [email protected] or by calling: 705-721-7520.

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