The following commonly used templates are provided to assist water systems in meeting their public notice requirements. Certain parts of a template may need to be modified to reflect the particular circumstances of individual cases. The instructions accompanying each template should be carefully read because certain public notice language is mandatory and cannot be changed. Since there are hundreds of contaminants, types of violations, and situations that require public notice, there may not be a template listed below that meets your needs. In such cases, it is suggested that you contact DWGB for advice. Questions regarding the Public Notification Rule or the public notice forms can be directed to dwgbinfo@des.nh.gov.
All documents have been saved in Microsoft Word
format.
Bacteria/ Boil Orders
- Boil Order Notice (Total Coliform Rule and/or Groundwater Rule)
- Boil Order Notice (Precautionary)
- Boil Order Lifted Notice
- Monitoring/Reporting Violation (Total Coliform Rule and/or Groundwater Rule)
- Standard MCL Violation
Chemical
- Arsenic MCL Violation
- Arsenic MCL Violation with POU or POE
- General MCL Violation with POU or POE
- Beryllium MCL Violation
- Fluoride MCL Violation
- Fluoride Secondary MCL Violation
- Monitoring/Reporting Violation
- MtBE Detection Notice (>5 ppb, <13 ppb)
- MtBE MCL Violation (> 13 ppb)
- Nitrate MCL Violation
- Radionuclide MCL Violation (compliance gross alpha, radium 226 & 228, uranium)
- Standard MCL Violation
Disinfection Byproduct (DBP)
- Disinfection Residuals Monitoring/Reporting Violation
- MCL Violation (TTHM and/or HAA5)
- Monitoring/Reporting Violation
- TOC Removal Violation
- Failure to Distribute Lead Education
- Failure to Install Corrosion Control (Lead and/or Copper)
- Failure to Optimize Corrosion Control (Lead and/or Copper)
- Failure to Provide Consumer Notification
- Failure to Submit OCCT Recommendation (Lead and/or Copper)
- Monitoring/Reporting Violation
- Water Quality Monitoring/Reporting Violation (Initial)
- Water Quality Monitoring/Reporting Violation (Routine)
Sanitary Survey
Surface Water Treatment Rule
- Disinfectant Level Less Than .2 For Over 4 hours
- Monthly Average Disinfectant Level Too Low
- Monthly Average Turbidity Violation
- Single Turbidity Violation
Microsoft Word format. Download a free viewer from Microsoft.


