Construction Permit Application Form, Wastewater Works (Appendix A)

Nebraska Department of
Environmental
Quality

Applications and Forms

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This information is
provided by the
Nebraska Department
of Environmental Quality
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public and regulated community.

Construction Permit Application Form, Wastewater Works (Appendix A)

This Complete Application is only available as an Adobe Acrobat (PDF) file.
File size is 86 KB

Above is the construction permit application form for wastewater works, including those operated by: Municipalities, Sanitary Improvement Districts, Commercial or Industrial Wastewater Facilities, and Private Developments.

Note: Effective Oct. 1, 2009, any individual submitting any application or form that would derive public benefitfrom the state must also fill out a United States Citizenship Attestation form. This applies to individuals submitting the forms on their own behalf. If applicable, please fill out the United States Citizenship Attestation form below and submit it with the relevant applications and forms.

United States Citizenship Attestation Form

This Complete Form is only available as an Adobe Acrobat (PDF) file.
File size is 97 KB

Nebraska Department of Environmental Quality
1200 "N" Street, Suite 400
P.O. Box 98922
Lincoln, Nebraska 68509
(402) 471-2186