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Las Vegas Valley Groundwater Management Program
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Well Conversion Grant Program
Applicant Information
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Choose one
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
I acknowledge I have proper authority to submit this application and that I will connect to the municipal water supply system and that I will plug and abandon the well presently serving this property as authorized under the Las Vegas Valley Groundwater Management Program. I further acknowledge that the failure to plug and abandon the well may result in legal and other actions, including, but not limited to, a lien against the property. I also acknowledge that fees paid to convert to the municipal water supply system will be based on procedures, costs, rates, fees, and charges established under the Las Vegas Valley Groundwater Management Program and the service rules and regulations of the municipal water supply provider.