Forms
Below are forms and applications that you can easily fill out and submit online or in person. Please call if you have any questions about how to complete these documents. Please do not submit electronically any forms containing sensitive information (such as your social security number), as we cannot guarantee security via email. You can mail forms with sensitive information to our office at 319 E 25th St, York, NE 68467, or drop off in person.
Water Management
- Well Decommissioning Cost Share Application
- Water Meter Repair Cost-Share Application
- Groundwater Transfer Application
- Tax Exempt Form (Form 13) - flowmeter battery replacement
- Citizenship Attestation Form
- Chemigation Permit Application
- Chemigation Incentive Cost-Share Application
- W-9: Request for Taxpayer ID Number and Certification
- Well Construction Permit Application
- Reverse Osmosis Water Filtration System Cost-Share Application
Water Sampling
Irrigation Water Sample Submission Form
Operators within a zone that has been designated a Phase III Management Zone must have their irrigation water tested for nitrates at least once every three years. Zones 5, 6, and 11 are in Phase III management.
Samples may be analyzed at any reputable laboratory at the operator’s discretion, with results being sent to the NRD by the operator. The NRD also offers nitrate analysis free of charge.
Domestic Water Sample Submission
Although it is not required by federal or state laws, testing private domestic wells for water quality is a good practice. Nitrate and bacteria analysis are two initial tests that will indicate general water quality for a rural homeowner.
The NRD offers nitrate and bacteria analyses free of charge. Please visit the NRD office for a bacteria analysis bottle, they are sealed and sterile to ensure accurate results. Nitrate samples can be collected in an NRD bottle or a small, clean glass jar.