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Supplemental Potable Water Source Exemption Form version 5/02/19 This form is for use when installing a drilled well, shallow (dug) well, or spring as a potable water source to supplement an existing

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What is individual water supply wells?

Individual water supply wells are wells that supply water to a single property or household.

Who is required to file individual water supply wells?

Property owners with individual water supply wells are required to file.

How to fill out individual water supply wells?

Individual water supply wells can be filled out by providing information on the well location, depth, water quality, and usage.

What is the purpose of individual water supply wells?

The purpose of individual water supply wells is to provide a source of water for a specific property or household.

What information must be reported on individual water supply wells?

Information such as well location, depth, water quality, and usage must be reported on individual water supply wells.

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