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Polk County Public Works 5885 NE 14th Street Des Moines, IA 50313 Phone: 5152863705 Email: publicworks@polkcountyiowa.gov Electrical Permit Application Owner of the Job Site Property: Job Site Address: Parcel
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Who needs well-permit-application--form-12-5-19?

01
Individuals or organizations planning to dig a well or make any changes to an existing well on their property.
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The well-permit-application--form-12-5-19 is a specific application form utilized for requesting permits to drill wells, including details on the well's location, purpose, and other necessary specifications.
Individuals or entities planning to drill a well for purposes such as water extraction, geothermal systems, or other regulated activities are required to file well-permit-application--form-12-5-19.
To fill out the form, applicants must provide accurate details about the proposed well site, including the landowner's information, intended use of the water, and comply with specific state or local regulations outlined in the instructions accompanying the form.
The purpose of the well-permit-application--form-12-5-19 is to ensure that all drilling activities comply with environmental regulations and management practices, safeguarding water resources and public health.
The form must report the applicant's contact information, the location and depth of the proposed well, the type of well, purpose of the well, expected water usage, and any relevant environmental assessments.
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