CCR iWriter. DEC Sustained Compliance Workshop Anchorage, AK September 23-24, 2010 Tee Little Environmental Program Specialist Drinking Water Program AK Department of Environmental Conservation E-mail: [email protected] Overview.
These will be red ‘No’ that
you will need to change to yes.
Certification of Completion of CCR Requirements
Public Water System Name:_________________PWSID___________
The community water system indicated above hereby confirms that the information contained in this annual Consumer Confidence Report is accurate and correct to the best of my knowledge, and consistent with information previously provided to ADEC. I further certify that I have directly distributed copies to all users of my public water system, in accordance with 40 CFR 141.155
Yours covered by this report _____2010 ______2011
Phone #___________________________________ Date___________________________
Mail a copy of the CCR and this form to your local ADEC contact:
Drinking Water Program
1700 E. Bogard Road, B-103
Wasilla, AK 99654
By July 1 – if later than this date the system will receive a violation for being late
If information is missing or incorrect – the system will receive a violation
By October 1 – the CCR certification is due if not submitted with the CCR. Failure to submit the certification page will result in a violation.