Forms

Well Registration & Permit Application Forms

Exempt Well Registration Form (Revised 11.15.2024)

Non-Exempt Well Registration Form (Revised 11.15.2024)

New Operating Permit Form (Non-Exempt) (Revised 11.15.24)

Amendment for Operating Permit Form (Non-Exempt) (Revised 11.15.24)

Replacement Well Registration Form (Exempt and Non-Exempt) (Revised 11.15.24)

Additional Forms

Delegation of Signatory Authority Form (Revised 11.15.24)

Spacing Exception Request Form (Revised 11.15.24)

Drilling Extension Request Form (Revised 11.15.24)

Plugging Extension Request Form (Revised 11.15.24)

Request to Withdraw Permit Form (Revised 11.15.24)

Transfer of Ownership Form (Revised 11.15.24)

Meter Reading Instructional Form

Pumpage Report Form

Test Hole Request Form

Request for Public INFORMATION Form

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