Forms

Well Registration & Permit Application Forms

Exempt Well Registration Form (Revised 1.27.25)

Well Registration Form (Non-Exempt) (Revised 4.17.2025)

New Operating Permit Form (Non-Exempt) (Revised 2.4.25)

Amendment for Operating Permit Form (Non-Exempt) (Revised 3.24.25)

Replacement Well Registration Form (Exempt and Non-Exempt) (Revised 2.5.25)

Additional Forms

Delegation of Signatory Authority Form (Revised 11.15.24)

Spacing Exception Request Form (Revised 11.15.24)

Drilling Extension Request Form (Non-Exempt) (Revised 12.31.24)

Drilling Extension Request Form (Exempt ) (Revised 12.31.24)

Plugging Extension Request Form (Revised 11.15.24)

Request to Withdraw Permit Form (Revised 11.15.24)

Transfer of Ownership Form (Revised 2.5.25)

Meter Reading Instructional Form

Pumpage Report Form

Test Hole Well Registration and Temporary Permit Request Form (Revised 2.5.25)

Request for Public INFORMATION Form

Permit Compliance Timeline

2024 Tier Enforcements

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