Drinking Water Construction Application Form
This information is provided by the Nebraska Department of Environment and Energy to assist the public and regulated community.
Form #: 23-016 Applications and Forms Revised: 10/4/23

Please complete the form above when submitting a Public Water System project for review by the Nebraska Department of Environment and Energy.




Questions?

Contact:
Nebraska Department of Environment and Energy
Engineering Section
P.O. Box 98922
Lincoln, NE 68509-8922

Phone: (402) 471-4239

Toll-free: (877) 253-2603