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Ky.gov An Official Website of the Commonwealth of Kentucky

Energy and Environment Cabinet

Division of Water

Division of Water
Forms/Applications

Forms and applications used in the Kentucky Well Drillers Program are now available for download.

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 Applications and Related Certification Documents

 
Document
 

 Well Reporting Forms

 
Document
Description
​All Kentucky Certified Well Drillers should use this form only to report installation/subsequent plugging (within 72 hrs) of temporary monitoring or water wells.
All Kentucky Certified Well Drillers should use the eForm only to report installation of monitoring or water wells.
All Kentucky Certified Well Drillers should use this form only to report plugging, modification or maintenance of monitoring or water wells.
All Kentucky Certified Water Well Drillers should use this form to report results required for KRS 223.400-223.460 and 223.991 (Kentucky Water Well Construction Practices Standards Act).
 

 Supplemental Well Reporting Forms

 
Document
Description
​This is an optional form that may be used by Kentucky Certified Well Drillers to report a well location using a GPS unit.
​This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a flush mount monitoring well installation using a diagram.
​This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a stick up monitoring well installation using a diagram.
​This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a water well installation using a diagram.
​This is an optional form that may be used by Kentucky Certified Well Drillers to report a well location in decimal degrees using a GPS unit.
​This form should be used by a Kentucky Certified Well Driller wishing to request a monitoring well variance pursuant to 401 KAR 6:350.
​This form should be used by a Kentucky Certified Well Driller wishing to request a water well variance, pursuant to 401 KAR 6:310.
 

 Water Well Owners Guides

 
Document
Description
​A Kentucky Certified Well Driller shall provide this guide to the homeowner upon completion of a well.
​A Kentucky Certified Well Driller shall provide this guide to the homeowner upon completion of a well.