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WELL PERMIT APPLICATION Date of Application / / Application Number: Well Construction Well Replacement Well Repair Geothermal Borehole(s) Well Abandonment PROPERTY OWNERS INFORMATION Address of Property:
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Number #: (If there are multiple, provide a combined count) Location of Water Well (Optional) — List Well Dimensions Location: Well Name: Well Type / Area of Well: Location: Geothermal Information Type: Location: Well Type Description: Well Location Description: Well Type Description: Description of Property: Property Owner: Number of Occupants in Well: Type of Property / Function of Lot in Well: Area / Structures on Lot: Description of Property: Condition of Vehicle on Lot: Location of Vehicle on Lot: Photo of Vehicle: Address: City: State: Zip: Phone #: Address: City: State: Zip: Phone #: Well Info: Address: City: State: Zip: Phone #:.

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A well permit application is a formal request made by an individual or organization to obtain permission to drill or operate a well for various purposes such as water supply, geological exploration, or oil and gas extraction.
Any individual, company, or organization planning to drill or operate a well is required to file a well permit application. The specific requirements may vary depending on the jurisdiction and the purpose of the well.
To fill out a well permit application, you typically need to provide detailed information about the location of the well, its purpose, drilling techniques, anticipated depth, water or resource usage, environmental impact assessment, and any applicable fees. The application form can usually be obtained from the regulatory body responsible for overseeing well permits in your jurisdiction.
The purpose of a well permit application is to ensure that the drilling or operation of a well is carried out in compliance with relevant regulations and to mitigate potential environmental and public health risks. It also helps authorities track and regulate the use of water resources and other natural resources associated with well operations.
The specific information required on a well permit application can vary, but typically it includes details about the well location, purpose, anticipated drilling techniques and depth, estimated water or resource usage, environmental impact assessment, and contact information of the applicant. Additional documentation or supporting evidence may also be required depending on local regulations and the purpose of the well.
The deadline to file a well permit application in 2023 may vary depending on the jurisdiction and local regulations. It is recommended to contact the relevant regulatory body or authorities overseeing well permits to determine the specific deadline for the desired location and purpose of the well.
The penalties for the late filing of a well permit application can vary depending on the jurisdiction and local regulations. It may include monetary fines, delays in permit processing, or even legal consequences. It is important to comply with the specified deadlines to avoid any potential penalties or disruptions to well operations.
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