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Environmental Health

Well Test Request

Submit this form to request a well water test from Cedar County Environmental Health staff. Once received, staff will reach out to confirm availability and coordinate sample collection.

First Name
Last Name

Mailing Address
Include Address or P.O. Box and City
Well Address
Include Address and City

Phone
Email Address

Well Number (if known)
Is this well shared between more than one property?

Please provide a brief description of where your well is located.
Is the well located a minimum of 100' from your septic system?
Have you had your well tested before by Cedar County?
Is there a location outside where water samples can be collected (hydrant or spigot)?

Do you utilize any water softener, filtration system, or reverse osmosis system for your drinking water? If so, please include details below.

Would you like Cedar County to test your well annually and place this well on an automatic testing schedule?

Resources & Services

Septic Wells Ordinances Inspections Natural Disaster Resources Well Test Request Department Home

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