Drinking Water Program Forms & Resources

Applications

Completed applications may be submitted via email to the EH Help Desk and payment will be collected over the phone (4% charge on all credit card transactions) OR submitted via mail to: Yakima Health District, 1210 Ahtanum Ridge Dr., Union Gap, WA 98903.

For information on services, or general questions, contact one of our skilled Environmental Health Specialists through the Environmental Health Help Desk at (509) 249-6508 or YHD.Help.Desk@co.yakima.wa.us

  1. Water Supply System Application (PDF)
  2. Shared Well Approval Application (PDF)
  3. Shared Well Information Packet (PDF)
  4. Adequate Water Determination Application (PDF)
  5. Mortgage Review Process Instructions (PDF)
  6. Mortgage Review Application (PDF)
  7. Mortgage Review Property Owners Statement (PDF)
  8. Mortgage Review Checklist (PDF)
  9. Chlorination Instructions for Flood Affected Wells (PDF)
  10. Complete Group B Workbook (PDF)