Water Management Act Forms
Water, Wastewater & Wetlands: Water Management Act Forms
Water Management Act Program Forms
Water Management Act 20-Year Permit Renewal Application
Revised September 2008.
Filing Options: MS Word Form 449 KB | PDF Form 91 KB
Instructions: MS Word 156 KB | PDF - included with form above
BRP WM 01 - Water Management Permit/Registration Transfer
Revised March 2006.
Filing Options: MS Word Form 122 KB | PDF Form 204 KB
Instructions: MS Word 352 KB | PDF - included with form above
BRP WM 02 - Water Management Permit Amendments
Revised May 2009.
Filing Options: MS Word Form 272 KB | PDF Form 228 KB
Instructions: MS Word 125 KB | PDF - included with form above
BRP WM 03 - Water Management Withdrawal Permits
Revised June 2007.
Instructions: MS Word 159 KB | PDF 35 KB
Application required for obtaining a Water Management Act Permit
Revised November 2005.
Filing Options: MS Word Form 677 KB | PDF Form 65 KB
Form A: General Information
Revised February 2005.
Filing Options: MS Word Form 178 KB | PDF Form 28 KB
Form B: Groundwater Withdrawal Point
Revised February 2005.
Filing Options: MS Word Form 143 KB | PDF Form 22 KB
Form C: Surface Water Withdrawal Point
Revised February 2005.
Filing Options: MS Word Form 133 KB | PDF Form 21 KB
Form D-1: Computation of Historic Withdrawal Volume
Revised February 2005.
Filing Options: MS Word Form 166 KB | PDF Form 20 KB
Form D-2: Projection of Withdrawal Volume
Revised February 2005.
Filing Options: MS Word Form 218 KB | PDF Form 27 KB
Form E-1: Computation of Withdrawal Volume for Cranberry Cultivation
Revised February 2005.
Filing Options: MS Word Form 131 KB | PDF Form 19 KB
Form E-2: Cranberry Growers Withdrawal Point Table
Revised February 2005.
Filing Options: MS Word Form 158 KB | PDF Form 22 KB
Form E: Cranberry Growers Application
Revised February 2005.
Filing Options: MS Word Form 187 KB | PDF Form 32 KB
Form F: Evaluation of Potential Effects of Proposed Withdrawal
Revised February 2005.
Filing Options: MS Word Form 138 KB | PDF Form 26 KB
Form G: Alternatives to Proposed Withdrawal
Revised February 2005.
Filing Options: MS Word Form 132 KB | PDF Form 21 KB
Form H: Groundwater Hydraulic Analysis
Revised February 2005.
Filing Options: MS Word Form 111 KB | PDF Form 16 KB
Form I: Request for Determination of Non-consumptive Use
Revised February 2005.
Filing Options: MS Word Form 116 KB | PDF Form 27 KB
Appendix to Permit Application
Revised February 2005.
Information about the Water Management Act Program policy, river basin permit schedule, permit review time line, stressed watershed map, nonpotable well pumping report requirements, and other useful program information
MS Word 176 KB | PDF 120 KB
back to Water Management Forms index
Water, Wastewater & Wetlands: Water Management Act Forms
Annual Report Forms
Annual Report Form for Public Water Suppliers
Web page
2011 Cranberry Growers Annual Report Form
Revised December 2011.
Annual report of water withdrawal volumes by registrants or permittees involved in cranberry cultivation. Filing deadline is February 29, 2012.
Filing Options: MS Word Form 150 KB | PDF Form 29 KB
Cranberry Growers Registration Renewal Forms
Revised January 2007.
Cover letter and Renewal Form to be completed by registered cranberry growers to continue their authorized withdrawals.
Cover Letter: MS Word 40 KB | PDF 54 KB
Renewal Form: MS Word Form 128 KB | PDF Form 33 KB
2011 Registered and Permitted Withdrawals Annual Report Form for Non-Cranberry and Non-Public Water Suppliers
Revised December 2011.
Annual report of water withdrawal volumes by industrial, agricultural, commercial, and golf course registrants and/or permittees. Filing deadline is February 29, 2012.
MS Word Form 211 KB | PDF Form 35 KB
back to Water Management Forms index
Water, Wastewater & Wetlands: Water Management Act Forms
Seasonal Demand Management Plans
Seasonal Demand Management Plan for Permitted Commercial/Industrial Facilities
Revised June 2009.
Cover letter: Web page
Form: MS Word 142 KB | PDF 28 KB
Seasonal Demand Management Plan for Permitted Agricultural Facilities
Revised June 2009.
Cover letter: Web page
Form: MS Word 136 KB | PDF 25 KB
Seasonal Demand Management Plan for Permitted Golf Courses
Revised June 2009.
Cover letter: Web page
Form: MS Word 78 KB | PDF 30 KB
back to Water Management Forms index
Water, Wastewater & Wetlands: Water Management Act Forms
Water Audit Guidance Document
Water Audit Guidance and Worksheets
Revised January 2006.
The Guidance Document provides information, forms and report outlines for the completion of a public water supply water audit.
Filing Options: MS Word Form 62 KB | PDF Form 25 KB
The following worksheets are intended to assist in preparing the water audit.
MS Excel 18 KB | PDF 7 KB
MS Excel 18 KB | PDF 7 KB
MS Excel 18 KB | PDF 7 KB
MS Excel 18 KB | PDF7 KB
MS Excel 18 KB | PDF 7 KB
MS Excel 18 KB | PDF 7 KB
back to Water Management Forms index
Water, Wastewater & Wetlands: Water Management Act Forms
Water Conservation Forms
Water Conservation Plan For Public Water Suppliers
Revised March 2008.
Format for a water conservation plan, provided by the Massachusetts Water Resources Commission
Web page
Notification of Water Use Restriction
Revised March 2011.
Notification form for implementing, amending or ending a water use restriction.
Filing Options: MS Word Form 149 KB | PDF Form 21 KB
back to Water Management Forms index