Long Term 2 Enhanced Surface Water Treatment Rule

Long Term 2 Enhanced Surface Water Treatment Rule

Intent to Provide Maximum Treatment Notice

A public water system(PWS) that chooses to provide the maximum level of treatment for Cryptosporidium applicable to their plant type (rather than start source water monitoring), must submit written notification no later than the date the PWS is otherwise required to submit a sampling schedule for monitoring. Alternatively, a PWS may choose to stop sampling at any point after the system has initiated monitoring if the system provides written notification that the system will provide this level of treatment. Submitting this form satisfies the requirement to submit a notice of intent to provide maximum treatment. A PWS must also install and operate technologies to provide this level of treatment by the applicable treatment compliance date.

Long Term 2 Enhanced Surface Water Treatment Rule

Notice of Intent to Provide Maximum Treatment

PWS Name: / PWS ID:
PWS Address:
City: / State: / ZIP:
E-mail Address:
Water Treatment Plant Name:
Water System Facility ID:
Type of system that will be providing maximum treatment instead of conducting monitoring:
___ Filtered system providing a total of at least 5.5-log of treatment for Cryptosporidium
[40 CFR part 141.701(d)(1)].
___ Unfiltered system providing a total of at least 3-log Cryptosporidium inactivation
[40 CFR part 141.701(d)(2)].
Planned date of treatment compliance:
Planned treatment to achieve compliance:
___Yes ___No / I understand the treatment requirements that my PWS is required to meet and am aware of the deadline for providing the treatment.
___Yes ___No / I have discussed these requirements with ADEQ
Name: (print) / Phone:
Signature: / Date:

Please submit your Intent to Provide Maximum Treatment to:

Arizona Department of Environmental Quality

Attn: Starr Abounader

Drinking Water Monitoring and Protection Unit, Mail Code 5415B-2

1110 West Washington Street

Phoenix, AZ85007

If your public water system is in MaricopaCounty, you must also submit your Intent to Provide Maximum Treatment to:

MaricopaCounty Environmental Services Department

Attn: John Kolman

Drinking Water Program

1001 North Central Avenue, Suite 250

Phoenix, AZ85004