This application package (application form and instructions) provides the mechanism for land owners and other eligible parties to apply for Environmental Use Controls. The completed application is a request by the applicant to voluntarily restrict the use of a property in order to protect the public health and environment from known contamination which exceeds department standards for unrestricted residential use. The application and information on file at Kansas Department of Health and Environment (KDHE) and used by KDHE to determine if a property is eligible for the establishment of Environmental Use Controls in accordance with the Kansas Environmental Use Control Act.