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Water Management Act Forms
Permitting information

Transmittal form & number
for permit applications


Fees & payments

Master list of 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

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Water, Wastewater & Wetlands: Water Management Act Forms
Annual Report Forms

Annual Report Form for Public Water Suppliers

Web page

2009 Cranberry Growers Annual Report Form

Revised December 2009.
Annual report of water withdrawal volumes by registrants or permittees involved in cranberry cultivation. Filing deadline is February 26, 2010.
Filing Options: MS Word Form 149 KB | PDF Form 27 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

2009 Registered and Permitted Withdrawals Annual Report Form for Non-Cranberry and Non-Public Water Suppliers

Revised December 2009.
Annual report of water withdrawal volumes by industrial, agricultural, commercial, and golf course registrants and/or permittees. Filing deadline is February 26, 2010.
MS Word Form 188 KB | PDF Form 30 KB

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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

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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

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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

Water Use Restrictions Form

Revised June 2007.
Notification form for implementing, amending or ending a water use restriction.
Filing Options: MS Word Form 139 KB | PDF Form 17 KB

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