Nebraska's Well and Septic Loan Inspection Program
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Application for Evaluation of Individual Water Supply and Sewage - This form opens in Rich Text Format (RTF) allowing you to edit and save to your hard drive.
Nebraska Department of Health and Human Services
Division of Public Health
Office of Drinking Water and Environmental Health
P.O. Box 95026
Lincoln, Nebraska 68509-5026
Phone: (402) 471-6435
Fax: (402) 471-7972
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Environmental Health Page