Do I need a notary for the Type II Well Permit Application?

No. The applicant signs and dates the application without a notary. The document identifies no attachment or related step that must be notarized or sworn.

How do I submit the Type II Well Permit Application?

Submit the completed application and fee to the Environmental Health Unit at 311 East Alcott St, Kalamazoo, MI 49001. The instructions allow cash, check, or credit card; credit card authorization must be sent by mail.

What should I include with the application?

Include a scaled drawing showing the well location, property lines, structures, and potential contamination sources, along with the completed existing and proposed fixture count. A separate sheet or engineer plans may be used for the drawing.

What happens before the well is drilled?

The instructions say to contact the Type II Noncommunity Water Supply Coordinator to arrange a site evaluation and learn about well construction requirements. The Environmental Health Unit will inspect the proposed well location before drilling.

Kalamazoo County, MI · Kalamazoo County

No notary required

Type II Well Permit Application

Kalamazoo County’s Type II Well Permit Application is for applicants seeking approval to install or alter a public water supply well.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a permit to construct or alter a public well under the form’s stated authority. It asks for establishment, owner or manager, applicant, service, and well information, plus a scaled drawing and fixture count. Submit the completed application with the fee; the instructions also describe site evaluation and inspection steps before drilling and approval requirements before the water supply can be used.

Who needs it

Applicants seeking to construct or alter a public well in Kalamazoo County should complete this application and submit it with the required fee.

How to submit it

Submit the application and fee to the Kalamazoo County Health & Community Services Department, Environmental Health Unit, 311 East Alcott St, Kalamazoo, MI 49001. Pay by cash, check, or credit card; credit card payment requires mailing the completed authorization form.

About notarization

This application is signed and dated by the applicant without a notary; it identifies no attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Application
Download the Type II Well Permit Application and its instructions.
2
Complete the Application
Fill out the application completely, including establishment, applicant, owner or manager, and service information.
3
Prepare the Drawing and Fixture Count
Add a scaled drawing showing the well and potential contamination sources, and complete the existing and proposed fixture count.
4
Gather Payment and Attachments
Include the fee and any applicable supporting information. For credit card payment, complete the authorization form and send it by mail.
5
Submit to the County
Send the application and fee to the Kalamazoo County Health & Community Services Department, Environmental Health Unit, at 311 East Alcott St, Kalamazoo, MI 49001.

Frequently asked questions

Do I need a notary for the Type II Well Permit Application?: No. The applicant signs and dates the application without a notary. The document identifies no attachment or related step that must be notarized or sworn.
How do I submit the Type II Well Permit Application?: Submit the completed application and fee to the Environmental Health Unit at 311 East Alcott St, Kalamazoo, MI 49001. The instructions allow cash, check, or credit card; credit card authorization must be sent by mail.
What should I include with the application?: Include a scaled drawing showing the well location, property lines, structures, and potential contamination sources, along with the completed existing and proposed fixture count. A separate sheet or engineer plans may be used for the drawing.
What happens before the well is drilled?: The instructions say to contact the Type II Noncommunity Water Supply Coordinator to arrange a site evaluation and learn about well construction requirements. The Environmental Health Unit will inspect the proposed well location before drilling.

Need something notarized?

This Type II Well Permit Application doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.