Clean Water SRF Needs Survey
This information is provided by the Nebraska Department of Environmental Quality  
to assist the public and regulated community .

Form #:  WAT142
Applications and Forms
Revised: 10/24/17



October 24, 2017 -- The Nebraska Department of Environmental Quality (NDEQ) will send the Clean Water (Wastewater) Needs Survey to Nebraska communities, Natural Resources Districts, consultants and engineers by the end of October, 2017.

The Needs Survey is sent out annually to every Nebraska community in order to understand the state’s wastewater infrastructure or nonpoint source control (such as watershed improvement projects) needs. The state evaluates these Needs Surveys to establish communities’ priority points for the Intended Use Plan of the Clean Water State Revolving Loan Fund. The Needs Survey filled out in 2017 will be used in the 2019 Intended Use Plan. For more information go to:
Filling out this survey in no way commits a community to undertaking a wastewater project or signing a Clean Water State Revolving Fund loan. For more information, refer to the NDEQ “2017 Needs Survey Memo” above.

NDEQ developed the Assessing Wastewater Infrastructure Needs (AWIN) program to assist struggling communities in Nebraska to better afford, maintain and operate wastewater infrastructure projects. For more information, and to find the AWIN Sustainability List and Individual Community Datasheets to use when filling out the Needs Survey go to:

AWIN: Assessing Wastewater Infrastructure Needs

NDEQ is requesting that communities fill out the form and send it to NDEQ postmarked by
December 31, 2017. Forms can be mailed to:

Financial Assistance Section
Nebraska Dept. of Environmental Quality
PO Box 98922
Lincoln, NE 68509-8922

Alternately, you may download the form from our web site, fill it in and mail it to the address above or email it to:
NDEQ.SRF@nebraska.gov

Communities are asked to submit the Needs Survey postmarked by December 31st each year, in order to be considered for the Clean Water State Revolving Loans and related grants. All Needs Surveys received after the due date will be ranked with zero priority points for use in the upcoming Intended Use Plan.