Drinking Water Revolving Fund
Project Certification Forms

Complete the forms below for certification of Minnesota Drinking Water Revolving Fund projects.

Please email completed documents to todd.johnson@state.mn.us.

Environmental Review Forms (all projects)

• Environmental Review Checklist by Category (PDF)
• Environmental Review Record Cover Page (PDF)
• Environmental Review Exemption Checklist (PDF)
• Section 106 Exemption Checklist (PDF)
• Environmental Review Information Worksheet (PDF)
• Environmental Review Solicitation Mailing List (PDF)
• Template Letter to the Minnesota Historic Preservation Office (Word Document)

Cost and Effectiveness Certification Form (buildings only, TPs, pumphouses, etc.)

• Cost and Effectiveness Certification Form (PDF)

Useful Life Calculation Form (all projects except watermain and LSL replacements)

• Useful Life Calculation Form (Excel)

Additional Forms

• Drinking Water Protection Forms