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81
![Instructions for Form NOI-KYG04 "Notice of Intent (Noi) for Coverage of Coal Mining, Processing and Associated Activities in Kentucky Under the Kpdes General Permit" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808620/notice-intent-noi-coverage-coal-mining-processing-and-associated-activities-in-kentucky-under-the-kpdes-general-permit.png "Instructions for Form NOI-KYG04 "Notice of Intent (Noi) for Coverage of Coal Mining, Processing and Associated Activities in Kentucky Under the Kpdes General Permit" - Kentucky")
![Form TPR (DEP7032-CO) "Transfer of Permit Request" - Kentucky](https://data.templateroller.com/pdf_docs_html/2078/20787/2078733/form-tpr-dep7032-co-transfer-of-permit-request-kentucky.png "Form TPR (DEP7032-CO) "Transfer of Permit Request" - Kentucky")
![Form DOW6040 "Uniform Kentucky Well Maintenance and Plugging Record" - Kentucky](https://data.templateroller.com/pdf_docs_html/2078/20786/2078682/form-dow6040-uniform-kentucky-well-maintenance-and-plugging-record-kentucky.png "Form DOW6040 "Uniform Kentucky Well Maintenance and Plugging Record" - Kentucky")
Form DOW6040 "Uniform Kentucky Well Maintenance and Plugging Record" - Kentucky
Size: 314 KB
2 pages
![Form DWM4226 "Ust Galvanic Cathodic Protection Evaluation" - Kentucky](https://data.templateroller.com/pdf_docs_html/2078/20786/2078686/form-dwm4226-ust-galvanic-cathodic-protection-evaluation-kentucky.png "Form DWM4226 "Ust Galvanic Cathodic Protection Evaluation" - Kentucky")
![Form DEP1016 "Clandestine Drug Lab Preliminary Assessment Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808578/form-dep1016-clandestine-drug-lab-preliminary-assessment-form-kentucky.png "Form DEP1016 "Clandestine Drug Lab Preliminary Assessment Form" - Kentucky")
![Form DEP7122 "Initial Notification/Compliance Certification" - Kentucky](https://data.templateroller.com/pdf_docs_html/1816/18167/1816731/form-dep-7122-initial-notification-compliance-certification-kentucky.png "Form DEP7122 "Initial Notification/Compliance Certification" - Kentucky")
![Form DEP7120 "Initial Notification/Compliance Certification" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808539/form-dep7120-initial-notification-compliance-certification-kentucky.png "Form DEP7120 "Initial Notification/Compliance Certification" - Kentucky")
![Form DWM7086 "Request to Be Removed From the Hazardous Waste Handler List" - Kentucky](https://data.templateroller.com/pdf_docs_html/1811/18117/1811769/form-dwm7086-request-to-be-removed-from-the-hazardous-waste-handler-list-kentucky.png "Form DWM7086 "Request to Be Removed From the Hazardous Waste Handler List" - Kentucky")
![Form DWM7053 "Registration of Hazardous Waste Transportation Activity" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808558/form-dwm7053-registration-of-hazardous-waste-transportation-activity-kentucky.png "Form DWM7053 "Registration of Hazardous Waste Transportation Activity" - Kentucky")
![Form DWM4610 "Ccr Notice of Concurrence Request" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808696/form-dwm-4610-ccr-notice-concurrence-request-kentucky.png "Form DWM4610 "Ccr Notice of Concurrence Request" - Kentucky")
![Form DWM4620 "Ccr Annual Fee Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808566/form-dwm4620-ccr-annual-fee-form-kentucky.png "Form DWM4620 "Ccr Annual Fee Form" - Kentucky")
![Form DEP7115 "Installation Verification and Compatibility Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808673/form-dep-7115-installation-verification-and-compatibility-form-kentucky.png "Form DEP7115 "Installation Verification and Compatibility Form" - Kentucky")
![Form DEP8044 "Notice of Intent to Install Underground Storage Tank or Piping" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808671/form-dep-8044-notice-intent-to-install-underground-storage-tank-or-piping-kentucky.png "Form DEP8044 "Notice of Intent to Install Underground Storage Tank or Piping" - Kentucky")
![Form DEP7112 "Ust Facility Registration Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808701/form-dep-7112-ust-facility-registration-form-kentucky.png "Form DEP7112 "Ust Facility Registration Form" - Kentucky")
![Form DEP0057 "Vapor Intrusion Assessment" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808582/form-dep0057-vapor-intrusion-assessment-kentucky.png "Form DEP0057 "Vapor Intrusion Assessment" - Kentucky")
![Form DEP0058 "Vapor Intrusion Building Assessment" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808583/form-dep0058-vapor-intrusion-building-assessment-kentucky.png "Form DEP0058 "Vapor Intrusion Building Assessment" - Kentucky")
![Form DEP6031 "Application for Certification - Solid Waste" - Kentucky](https://data.templateroller.com/pdf_docs_html/1799/17998/1799881/form-dep-6031-application-certification-solid-waste-kentucky.png "Form DEP6031 "Application for Certification - Solid Waste" - Kentucky")
![Form DEP4065 "Spill Containment Device Test" - Kentucky](https://data.templateroller.com/pdf_docs_html/1816/18167/1816742/form-dep-4065-spill-containment-device-test-kentucky.png "Form DEP4065 "Spill Containment Device Test" - Kentucky")
![Form DEP8055 "Closure Assessment Report" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808681/form-dep-8055-closure-assessment-report-kentucky.png "Form DEP8055 "Closure Assessment Report" - Kentucky")
![Form DEP8056 "Classification Guide" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808678/form-dep-8056-classification-guide-kentucky.png "Form DEP8056 "Classification Guide" - Kentucky")
![Form DEP6068 "Sotra Claim Request" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808597/form-dep-6068-sotra-claim-request-kentucky.png "Form DEP6068 "Sotra Claim Request" - Kentucky")
![Form DEP7113 "Certificate of Registration and Reimbursement Eligibility" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808670/form-dep-7113-certificate-registration-and-reimbursement-eligibility-kentucky.png "Form DEP7113 "Certificate of Registration and Reimbursement Eligibility" - Kentucky")
![Form DEP8054 "60-day Record of Rectifier Operation for Impressed Current Cathodic Protection System" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808691/form-dep-8054-60-day-record-rectifier-operation-impressed-current-cathodic-protection-system-kentucky.png "Form DEP8054 "60-day Record of Rectifier Operation for Impressed Current Cathodic Protection System" - Kentucky")
![Form DEP0060 "Address Change Form for Owners of Ust Systems" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808755/form-dep0060-address-change-form-for-owners-of-ust-systems-kentucky.png "Form DEP0060 "Address Change Form for Owners of Ust Systems" - Kentucky")
![Form DEP0063 "Reconsideration Request Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808718/form-dep-0063-reconsideration-request-form-kentucky.png "Form DEP0063 "Reconsideration Request Form" - Kentucky")
![Form DEP5039 "Certification of Properly Cleaned Usts" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808720/form-dep-5039-certification-properly-cleaned-usts-kentucky.png "Form DEP5039 "Certification of Properly Cleaned Usts" - Kentucky")
![Form DEP6064 "Claim Request Form for Actions Not Directed by the Ustb" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808723/form-dep-6064-claim-request-form-actions-not-directed-by-the-ustb-kentucky.png "Form DEP6064 "Claim Request Form for Actions Not Directed by the Ustb" - Kentucky")
![Form DEP4067 "Over-excavation Report Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808724/form-dep-4067-over-excavation-report-form-kentucky.png "Form DEP4067 "Over-excavation Report Form" - Kentucky")
![Form DEP6073 "Psteaf Eligible Company or Partnership Application" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808727/form-dep-6073-psteaf-eligible-company-or-partnership-application-kentucky.png "Form DEP6073 "Psteaf Eligible Company or Partnership Application" - Kentucky")
![Form DEP8045 "Corrective Action Monitoring Report Form" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18086/1808672/form-dep-8045-corrective-action-monitoring-report-form-kentucky.png "Form DEP8045 "Corrective Action Monitoring Report Form" - Kentucky")
![Form DEP4063 "Electronic Release Detection Equipment Test" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808586/form-dep4063-electronic-release-detection-equipment-test-kentucky.png "Form DEP4063 "Electronic Release Detection Equipment Test" - Kentucky")
![Form DEP0061 "Affidavit of Termination of Contract" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808585/form-dep0061-affidavit-of-termination-of-contract-kentucky.png "Form DEP0061 "Affidavit of Termination of Contract" - Kentucky")
![Form DEP4064 "Line Tightness Test" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808589/form-dep4064-line-tightness-test-kentucky.png "Form DEP4064 "Line Tightness Test" - Kentucky")
![Form DEP5041 "Visual Interstitial Log" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808590/form-dep5041-visual-interstitial-log-kentucky.png "Form DEP5041 "Visual Interstitial Log" - Kentucky")
![Form DEP6074 "Application for Laboratory Certification" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808592/form-dep6074-application-for-laboratory-certification-kentucky.png "Form DEP6074 "Application for Laboratory Certification" - Kentucky")
![Form DEP6067 "Sotra Application for Assistance" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808591/form-dep6067-sotra-application-for-assistance-kentucky.png "Form DEP6067 "Sotra Application for Assistance" - Kentucky")
![Form DEP5037 "Application for Voluntary Environmental Remediation Tax Incentive" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808579/form-dep5037-application-for-voluntary-environmental-remediation-tax-incentive-kentucky.png "Form DEP5037 "Application for Voluntary Environmental Remediation Tax Incentive" - Kentucky")
![Form DEP5035 "Contractor's Certificate of Decontamination for Inhabitable Properties" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808577/form-dep5035-contractor-s-certificate-of-decontamination-for-inhabitable-properties-kentucky.png "Form DEP5035 "Contractor's Certificate of Decontamination for Inhabitable Properties" - Kentucky")
![Form DEP6020 "Gasoline Tank Truck Pressure-Vacuum Test Certificate Application" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18085/1808531/form-dep6020-gasoline-tank-truck-pressure-vacuum-test-certificate-application-kentucky.png "Form DEP6020 "Gasoline Tank Truck Pressure-Vacuum Test Certificate Application" - Kentucky")
![Form DEP7046 "Annual Waste Quantity Report" - Kentucky](https://data.templateroller.com/pdf_docs_html/1808/18087/1808714/form-dep-7046-annual-waste-quantity-report-kentucky.png "Form DEP7046 "Annual Waste Quantity Report" - Kentucky")
