CSL-100 (05/10) Kansas Department of Agriculture Records Center, Chemigation Section 109 SW 9th St Topeka KS 66612-1281 (785) 296-2142 FAX (785) 296-0673 records kda.ks.gov APPLICATION FOR CHEMIGATION.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Application For Chemigation User’s Permit (CUP) - Kansas Department of Agriculture online

This guide provides clear, step-by-step instructions on how to successfully complete the Application for Chemigation User’s Permit (CUP) for the Kansas Department of Agriculture. Whether you are applying for the first time or renewing your permit, this user-friendly guide is designed to assist individuals with varying levels of experience.

Follow the steps to fill out the application form effectively.

  1. Click the ‘Get Form’ button to obtain the form and open it for completion.
  2. Fill in the permit information. Specify whether you are applying for a new permit or a renewal by checking the appropriate box. Provide the necessary details such as your name and address. Ensure that this information reflects the owner or operator of the land where chemigation will be used.
  3. Indicate the type of entity by checking the appropriate box (individual, partnership, corporation, etc.). If applicable, list the names and addresses of the partners or officers, along with their birth dates.
  4. For each point of diversion supplying water to your irrigation system for chemigation, provide the legal description, water right file number, county abbreviation, and type of system used. If necessary, attach a separate sheet for additional points of diversion.
  5. List the chemigation equipment operators who will be working under your permit. Clearly note whether they are new or expired, and include their currently certified chemigation equipment operator numbers. If additional space is required, attach a separate sheet.
  6. Sign and date the application to certify that all information provided is accurate and that all required equipment is in place according to the Kansas Chemigation Safety Law.
  7. Calculate and include the appropriate fees based on the number of points of diversion and the certification of chemigation equipment operators. Ensure that you attach the necessary documentation and payment.
  8. Once completed, save your changes, download the form, and print or share it as necessary.

Complete your Application for Chemigation User’s Permit online today to ensure compliance and maintain your operations.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

APPLICATION FOR CHEMIGATION USER'S PERMIT (CUP)

PARTS 1-2: Indicate if new or renewal. Chemigation User's Permits (CUP) are issued to the...

Learn more
Using Chemigation for In-Season N Application |...

May 4, 2016 — Conducting chemigation requires a two-step process: First you have to...

Learn more
Chemigation - Kansas Department of Agriculture

To apply, print the Application for Chemigation User's Permit, fill it out, and send it...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What does the Nebraska Chemigation Act require?

The Nebraska Chemigation Act and the Title 195 regulations require that anyone operating a chemigation system be certified as a chemigation applicator. In addition, any permit application must include the name of a certified chemigation applicator.

Chemigation is a method of pesticide application in which pesticides are injected into irrigation water. Before a pesticide can be chemigated, it must be labeled to indicate that chemigation is an allowed method of application.

The Chemigation Program is responsible for protecting the irrigation water source from contamination by fertilizer or pesticides, as established in the Nebraska Chemigation Act.

Chemigation is the application of pesticides using an irrigation system. Pesticides include herbicides, insecticides, fungicides, rodenticides, fumigants, spray adjuvants, and plant growth regulators. Fertigation is the use of fertilizers or other soil amendments using an irrigation system.

Chemigation as a Source of Groundwater Contamination If proper safety measures are not taken, groundwater can be contaminated when irrigation water containing pesticides is allowed to backflow into the well supplying the water.

A: “Chemical” is any fertilizer or pesticide mixed with the water supply. Note that insecticides, herbicides, and fungicides are all different forms of pesticide. The term fertilizer is limited to formulations or products used and formally recognized as plant nutrients.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Application For Chemigation User's Permit (cup) - Kansas Department ...