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Cathodic Protection Borehole Program

(see FAQ's)

GROUNDWATER PROTECTION NOTICE

DRILLING PERMITS FOR CATHODIC PROTECTION BOREHOLES

Pursuant to the Cathodic Protection Regulations effective May 14, 2004, an approved drilling permit must be obtained from the Big Bend Groundwater Management District No. 5 BEFORE a cathodic protection borehole is drilled and constructed. While reviewing the cathodic protection rules and regulations prior to application, pay special attention, as Big Bend GMD #5 has District specific rules and regulations. For example, the District requires a surface casing to have a standard dimension ration (SDR) of 21 or less, whereas KCC requires an SDR of 26 or less.

WHO MUST FILE FOR DRILLING PERMIT
Any person planning to drill and construct a cathodic protection borehole that will penetrate the water table of an aquifer within the boundaries of the Big Bend Groundwater Management District No. 5 must file either form
CP-10 (cased borehole) or CP-15 (uncased borehole) (Application for Permit to Drill and Construct a Cathodic Protection Borehole.) Please refer to the location map on this page for District boundaries.
Contact the Big Bend Groundwater Management District No. 5 for an applicants information kit, or print appropriate forms from this website. Filing fee is not required.

WHEN TO FILE FOR DRILLING PERMIT
A completed application for permit to drill and construct a cathodic protection borehole and all attachments must be filed a minimum of 60 days prior to planned construction.

WHAT TO FILE
For EACH cathodic protection borehole you must file:

Application for Permit Packet:
Form CP-10 or CP-15
Form CP-20
KCC Form KSONA-1
A construction plan that illustrates the information contained in Form CP-10 or CP-15
A copy of the KCC application for surface pit permit (CDP-1), when applicable
Well Completion Packet:
KCC Form AC-01
District As-Built Plan
KDHE Form WWC5

DRILLING PERMIT
Approval of drilling and construction permit application and attachments, constitutes compliance with Cathodic Protection Borehole Rules and Regulations.

WAIVER
The applicant may request an exception to these regulations pursuant to K.A.R. 82-3-100(b)

Cathodic Protection Borehole Forms:

Cased Boreholes:

Uncased Boreholes:

Completion Forms:

Form CP-10 (pdf)

Form CP-15 (pdf)

KCC Well Completion Form (AC-01)

KCC Form KSONA-1 (pdf)

KCC Form KSONA-1 (pdf)

District As-Built Plan

Form CP-20 (pdf)

Form CP-20 (pdf)

KDHE WWC5 Form

Construction Plan

Construction Plan

District Map

KCC Application for Surface Pit (CDP-1)

KCC Application for Surface Pit (CDP-1)

125 S Main St.
Stafford, KS 67578
Phone: (620) 234-5352

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