Kalamazoo County, MI · Kalamazoo County
On-Site Water Well Permit Application
Kalamazoo County property owners use this application to request a permit for an on-site water well serving a dwelling or for heat exchange.
At a glance
- Issued by
- City of Kalamazoo County · Kalamazoo County, Kalamazoo County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- kalcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a Kalamazoo County permit for an on-site water well serving a single-family dwelling, duplex or multifamily dwelling, or heat exchange system. Applicants provide property and contact details, select the water system use, answer questions about the site, and submit a property development plan sketch. The instructions state that a permit is not needed for wells pumping more than 70 GPM.
Who needs it
Property owners applying for an on-site water well permit for a dwelling or heat exchange system should complete and submit this application.
How to submit it
Submit the completed application and fee by mail to the Environmental Health Unit at 311 East Alcott Street, Kalamazoo, MI 49001, or email it to [email protected]. The instructions list cash, check, or credit card payment; credit card authorization forms must be mailed.
About notarization
This application is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the on-site water well permit application and instructions.
- 2
Complete the Form
Fill out the application completely with property, owner, contact, and water system information.
- 3
Prepare the Site Plan
Provide a property development plan sketch showing applicable existing and proposed features and distances.
- 4
Gather the Fee
Include the application fee. The instructions list cash, check, or credit card; credit card authorization forms must be mailed.
- 5
Submit to the County
Mail the application and fee to the Environmental Health Unit or email the application to [email protected].
Frequently asked questions
- Who uses the On-Site Water Well Permit Application?
- Property owners use it to apply for a county permit for an on-site water well serving a dwelling or heat exchange system. It requests property information, contact details, and a site plan.
- How do I submit the application?
- Send the completed application and fee to the Environmental Health Unit by mail at 311 East Alcott Street, Kalamazoo, MI 49001, or by email to [email protected]. Credit card authorization forms must be mailed.
- Do I need a notary for the On-Site Water Well Permit Application?
- No. The application is signed and dated without a notary; the signer just signs and dates it.
- What should I include with the application?
- Include the application fee and a property development plan sketch showing applicable site features and distances. The form allows a sketch in the provided area or an additional sheet.