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DRINKING WATER APPLICATIONS AND FORMS

COVID-19 Current KPHD Work Processing

Please read the following updated Health District Memo about how the Health District will be conducting business for Drinking Water, Septic, Construction & Real Estate work during the Govenor's Stay Home, Stay Healthy Order.

Application Name
Printable Form
Online Application
Public Water System Status Report Download Apply Online
Public Group A/B Water Sanitary Survey Download Apply Online
Private/Two-Party Water System Status Report Download Apply Online
Amended Water System Status Report Download Apply Online
Waiver for Irrigation Well Download Unavailable
Coordinated Water System Plan Review Application Download Unavailable
Well Site Inspection Application Download Unavailable
Well Decommissioning Application Download Apply Online
Waiver to Regulations Request Download Unavailable


Form Name
Instruction for Completing Protective Covenants Download
Dug Well - Protective Covenant Word   -   PDF
Private 1-Party Well - Protective Covenant Word   -   PDF
Private 2-Party Well - Protective Covenant Word   -   PDF
Private Water Supply Design Download
Public Water - Developing a Public Water System Download
Public Water Supply - Declarative Covenant Download
Public Water Supply - Restrictive Covenant Download
Water Availability Letter Download


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