NWLEPG: Northwest Local Environmental Protection Group Menu My county

Letter of Intent

To Install or Modify a Private On-site Wastewater System

Fill in on screen

A PDF with fields you can type into, then save and send or print.

Download fillable PDF: Letter of Intent

PDF, 2 pages, 290 KB

Print and fill by hand

A Word document you can print, or type into and print.

Download Word: Letter of Intent

Word, 25 KB

What it is for

This Letter of Intent requires a $350.00 fee to be paid to the Northwest Local Environmental Protection Group (NWLEPG) office and this form shall be completed prior to construction or modification of the system.

Printed on the form

Where to return it

Northwest Local Environmental Protection Group

350 S. Range, Suite #4
Colby, KS 67701

Related forms

Earlier versions on file (2019)

Kept for reference. Use the current form above for new filings.