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State Revolving Fund (SRF) Forms
Permitting information

Transmittal form & number
for permit applications


Fees & payments

Master list of forms
Water, Wastewater & Wetlands: State Revolving Fund (SRF) Forms
Planning Stage

Analysis of Homeowner Septic Repair Special Revenue Account

Revised March 2003.
Used by Commonwealth communities participating in Title 5 betterment loans, for their quarterly reporting requirements.
Filing Options: MS Word Form 176 KB | PDF Form 15 KB

SRF Loan Application - Planning Stage

Revised January 2008.
Financial Assistance Application Form for use by local governments with Planning projects appearing on the CWSRF or DWSRF Intended Use Plan.
Filing Options: MS Word Form 691 KB | PDF Form 146 KB

2009 State Revolving Funds Project Solicitations

Solicitation letter for Clean Water and Drinking Water SRF project applications
Web page

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Water, Wastewater & Wetlands: State Revolving Fund (SRF) Forms
Clean Water SRF

2010 CWSRF Project Evaluation Form (PEF)

Revised June 2009.
Notice of project solicitation and Project Evaluation Form for the Clean Water SRF Program for 2010.
Cover letter (revised July 2009): Web page
Instructions: MS Word 294 KB | PDF 92 KB
Filing Options: MS Word Form 673 KB | PDF Form 82 KB

2010 CWSRF Project Selection Criteria

Revised June 2009.
MassDEP rating criteria for the 2010 Clean Water SRF project selection.
Filing Options: MS Word Form 366 KB | PDF Form 56 KB

Loan Application - Construction Stage

Revised March 2009.
Financial Assistance Application Form for use by local governmental units with Construction projects appearing on the CWSRF Intended Use Plan.
Filing Options: MS Word Form 809 KB | PDF Form 178 KB

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Water, Wastewater & Wetlands: State Revolving Fund (SRF) Forms
Drinking Water SRF

2010 DWSRF Project Evaluation Form (PEF)

Revised June 2009.
Project Evaluation Form and instructions for the 2009 Drinking Water SRF Project Solicitation.
Cover letter (revised July 2009): Web page
Instructions: MS Word 252 KB | PDF 65 KB
Filing Options: MS Word Form 666 KB | PDF Form 79 KB

2010 DWSRF Project Selection Criteria

Revised June 2009.
MassDEP rating criteria for the 2010 Drinking Water SRF project selection.
Filing Options: MS Word Form 262 KB | PDF Form 51 KB

DWSRF Loan Application and Financial Assistance Application form

Revised March 2009.
For use by local governmental units and other public water suppliers with projects appearing on the DWSRF Intended Use Plan.
Filing Options: MS Word Form 731 KB | PDF Form 162 KB

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Water, Wastewater & Wetlands: State Revolving Fund (SRF) Forms
Plan & Spec Package

Complete Plan & Specification Preparation Package

Revised September 2007.
For preparing SRF Construction Plans and Specifications, including supplemental forms for Minority and Women-Owned Business requirements. The checklist portion of this package can also be downloaded separately (see below).
Filing Options: MS Word Form 793 KB | PDF Form 393 KB

Plan and Specification Checklist
Checklist portion ONLY of Plan and Specification preparation package. Supplemental forms are not included.
MS Word 224 KB | PDF 75 KB

Revised Cost Estimate Summary Sheet

Revised April 2002.
Use with State Revolving Fund applications.
Filing Options: MS Word Form 125 KB | PDF Form 16 KB

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Water, Wastewater & Wetlands: State Revolving Fund (SRF) Forms
ARRA Labor Weekly Reporting

Borrowers need to report weekly to MassDEP any number of hours worked and payroll on the projects that are funded through the American Recovery & Reinvestment Act (ARRA). Below are the forms, as well as samples for guidance.

Letter to all SRF/ARRA recipients
MS Word 51 KB

Sample ARRA Labor Weekly Report
MS Excel 103 KB

ARRA Weekly Labor Reporting form
MS Excel 101 KB

ARRA Historical Labor Reporting form
MS Excel 18 KB

ARRA Weekly Labor Reporting survey
PDF 15 KB
November 2009

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