FormsWater wells

Water Well Permit

Domestic Private Water Well Permit

Get the form

Fill in on screen

Type into the form in your PDF reader, save it, then print or send it to the office.

Fillable PDFPDF, 2 pages, 342 KB

Print and fill by hand

A Word document you can print, or edit and print.

Printable Word documentWord document, 26 KB

This Water Well Permit requires a $125.00 fee to be paid to the Northwest Local Environmental Protection Group (NWLEPG) office and this form shall be completed prior to drilling the well.

Printed on the form itself.