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This certification is required to confirm that a proposed well does not encroach on septic tanks or sewer systems as per Arizona regulations. The applicant must attest that they have conducted due
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How to fill out certification to form notice

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How to fill out Certification to the Notice of Intention to Drill an Exempt Well for Domestic Use

01
Obtain the Certification form from the relevant local or state authority.
02
Fill in the applicant's name, address, and contact information accurately.
03
Provide details about the location of the intended drill site, including GPS coordinates.
04
Specify the purpose of the well, indicating it is for domestic use.
05
Include any required geological or environmental assessments, if applicable.
06
Review the regulations regarding exempt wells to ensure compliance.
07
Sign and date the Certification form before submission.
08
Submit the completed form to the appropriate regulatory agency, along with any required fees or supporting documents.

Who needs Certification to the Notice of Intention to Drill an Exempt Well for Domestic Use?

01
Homeowners or landowners who plan to drill a well for personal domestic use.
02
Individuals seeking to utilize groundwater for non-commercial purposes.
03
Applicants under local or state regulations that mandate certification for exempt wells.
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People Also Ask about

Exempt well provisions allow withdrawals with relaxed requirements based upon maximum quantities withdrawn, the use for which the water was applied, or both. Exempt wells are generally classified as domestic wells or agricultural (or stock watering) wells.
While the majority of states allow for private well-digging with the approval of a permit, a handful of states restrict digging ONLY to licensed professional contractors. In these cases, the permit is usually filled and managed by the contractor using the information provided by the property owner.
Drilling a Well Yourself vs. Hiring a Pro Well Drilling DIY SuppliesAverage Cost Well drilling rig kit (purchased) $700–$36,000 Well drilling rig kit (rental) $800–$1,000 per day Well pump $900 Water pressure tank $3001 more row • Jan 9, 2025
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.
Drilling your own water well is possible, but it comes with risks and challenges. The main issues are reaching the necessary depth, ensuring the well is properly sealed to prevent contamination, and making sure the water is safe to drink.
A sand point well is the most economical way to get water, can be installed by a homeowner, but may not last long or produce clean water at the right pressure consistently. Sand point wells are similar to dug wells in depth, with a steel pipe driven around 20' deep and a 1-1/4" to 2" diameter.
All well owners must secure the appropriate permit prior to commencing any regulated activity including preparatory work on the well site. Please visit the link below to access the Well Permit Fee Calculator. This can be used to determine the total fee required with an application for a permit to drill a new well.

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Certification to the Notice of Intention to Drill an Exempt Well for Domestic Use is a document that indicates a property owner's intention to drill a well that is exempt from certain regulations, typically for domestic water use purposes.
Property owners or individuals planning to drill an exempt well for domestic use are required to file this certification.
To fill out the certification, one must provide information including the property owner's name, address, the intended depth of the well, and the purpose of the well, along with any other necessary details specified by local regulations.
The purpose of the certification is to formally notify regulatory authorities of the intent to drill a well for personal domestic use, ensuring compliance with local water use laws and regulations.
The certification must report information such as the property location, owner's contact details, well purpose, estimated depth, and any other relevant information as mandated by local jurisdiction.
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