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This form is used by property owners to officially designate an agent to act on their behalf in applying for a well construction and/or use permit. It requires notarization to be valid.
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How to fill out well permit designation form

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How to fill out Well Permit Designation Form

01
Obtain the Well Permit Designation Form from the relevant authority or website.
02
Fill in the applicant's details such as name, address, and contact information.
03
Provide information about the property where the well will be located, including the address and legal description.
04
Indicate the type of well to be constructed (e.g., residential, agricultural, commercial).
05
Describe the intended use of the water from the well.
06
Provide any required environmental or technical information, such as proximity to existing water sources.
07
Attach any necessary documentation or permits required by local regulations.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the appropriate regulatory agency along with any required fees.

Who needs Well Permit Designation Form?

01
Anyone planning to construct a well for residential, agricultural, or commercial use.
02
Property owners who require a water source for irrigation or livestock.
03
Developers who need to establish a water supply for new construction projects.
04
Individuals or businesses seeking to comply with local water use regulations.
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People Also Ask about

Basic Well Construction. Constructing a new well or decommissioning an out of service well is a team effort. Well owners need to obtain permits from local environmental health agencies or local water districts before construction, modification, or destruction takes place.
Not allowed between 9pm to 6am if noise creates a disturbance across a real property boundary, excluding emergency work 7am to 10pm 65-75 dBA (depending if from Class A, B, C, D land) 10pm to 7am 60 dBA 8am to 8pm, prohibited if plainly audible 8pm to 8am excluding emergency work.
The cost of drilling a well in California can vary widely depending on a number of factors, including the depth and location of the well, the type of drilling equipment needed, and the geology of the area. On average, the cost of drilling a well in California can range from $10,000 to $50,000 or more.
Basic Well Construction. Constructing a new well or decommissioning an out of service well is a team effort. Well owners need to obtain permits from local environmental health agencies or local water districts before construction, modification, or destruction takes place.
Drilling a well often requires permits or licensed contractors, depending on your state. A well needs to be at least 10 feet away from other buildings. Well regulations include keeping 100 feet between a well and septic system. Well water requires annual testing.
In California, there are three base lines and meridians; Humboldt (H), Mount Diablo (M), and San Bernardino (S). All wells in the study area are referenced to the San Bernardino base line and meridian (S). Well numbers consist of 15 characters and follow the format 004N003W01M001S.
The Orange County Well Ordinance (County Ordinance No. 2607) requires that a permit be obtained prior to the construction or destruction of any well. Well permits must be obtained prior to beginning exploratory borings, as well as the construction of wells.
Sample Seasonal Watering Schedules - Orange County SpringSummer Days per Week 2 4 Start Times per Day 2 2 Minutes per Station 5 5 Total Minutes per Day 10 101 more row
Drilling a well without obtaining the required permits can have severe legal consequences in California. Violating the well drilling regulations is considered a misdemeanor, punishable by fines, penalties, and potential legal actions.
PRIVATE DOMESTIC WELL USE IN CALIFORNIA The State Water Board Division of Drinking Water (DDW) does not regulate the quality of water from either of these sources. Private domestic well owners are responsible for maintaining their well and are encouraged to test their well water quality.

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The Well Permit Designation Form is a document used to designate the specific well location and details for which a permit is being requested or granted.
Property owners or operators who intend to drill, deepen, or alter a well are required to file the Well Permit Designation Form.
To fill out the Well Permit Designation Form, provide necessary details such as the well location, type of well, proposed depth, and the contact information of the applicant. Ensure all sections are completed accurately.
The purpose of the Well Permit Designation Form is to provide regulatory authorities with the information needed to assess and permit the construction and operation of a water well.
The information that must be reported on the Well Permit Designation Form includes well location coordinates, well type, depth, anticipated use, and the applicant's contact information.
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