Figure: 30 TAC 290.47(d)

30 TAC §290.46(p)(2), Data on water system ownership and management, requires the owner of a public water system to annually provide the executive director with a list of all the water works operators and operating companies that the public water system uses. The following form may be used to facilitate compliance with this requirement. This notice shall be submitted to the Texas Commission on Environmental Quality (TCEQ), Water Supply Division, MC-155, P.O. Box 13087, Austin, Texas 78711-3087 or via the TCEQ online "Operator Notice" form. Upon request, the "Operator Notice" form shall also be provided to the executive director during on-site inspections.

Appendix D: Operator Notice
Name of Operator or
Operating Company
For Operators For
Companies
Contact
Information
Full, Part-
time or
Volunteer
License No. Class of
License
Registration
No.
1.          
2.          
3.          
4.          
5.          
6.          
7.          
8.          
9.          
10.          


________________________________________________
Signature of Water System Owner or Responsible / Official Date

________________________________________________
Name of Water System Owner or Responsible Official / Title of Owner or Responsible Official