Get Chemigation Permit Form - Central Platte Natural Resources District - Cpnrd

Filling out the Chemigation Permit Form is an essential step for users seeking to operate a chemigation system in the Central Platte Natural Resources District. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the application process.

1. Press the ‘Get Form’ button to obtain the Chemigation Permit Form and open it for editing.
2. Begin by filling out the top half of the application. Clearly type or print your name, address, city, state, and zip code. Ensure that all information is accurate.
3. Indicate if you will be using a drip system by answering 'Yes' or 'No'.
4. Provide the legal description of the injection location. Fill in details such as field name, county, and the specified section, township, and range.
5. Select the type of permit you are applying for by checking the relevant box: new permit ($30), renewal ($10), or emergency permit ($100).
6. Specify the type of injection unit being used by marking either portable or stationary.
7. List the name(s) of certified chemigation applicator(s), including their certification number(s) and expiration date(s). Also provide a contact number for inspection purposes.
8. Detail all chemicals used in the chemigation system within the past year. List their names and the total amount applied in pounds for both fertilizers and pesticides.
9. Report the total number of acres treated at the specific location.
10. Have the permit applicant sign and date the application at the designated area.
11. Review the completed form for any errors and ensure that all required fields are filled out accurately.
12. Once finalized, save the changes to the document. You can then download, print, or share the form as necessary.

Take the next step in your application process by completing the Chemigation Permit Form online today.