PFAS Private Drinking Water Well Questionnaire
The following information will assist the Navy in completing this off-base drinking water investigation. Please submit the questionnaire by choosing one of the following:
- Complete and submit the online form below, OR
- Completing the fillable PDF Questionnaire and emailing it to the Navy Public Affairs Officer at NAVFAC_ML_PAO@navy.mil, OR
- Print the PDF Questionnaire and mail to NAVFAC MIDLANT Public Affairs, Naval Station Norfolk, Bldg. Z-140, Norfolk, VA 23511
If your property uses groundwater for drinking and cooking, please respond to the questions below and submit the completed questionnaire online.
If you do not own this property, please complete questions 1 and 2 and submit the online questionnaire. If you do not have a drinking water well, please complete the questionnaire by answering "no" to question 3 and submitting online.