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Azwater. gov Pump Installation Completion Report FILE NUMBER Review instructions prior to completing form in black or blue ink. Arizona Department of Water Resources Information Management Unit P. O. Box 33589 Phoenix AZ 85067-3589 602 771-8627 800 352-8488 www. The registered well owner should file this report with the Department within 30 days following installation of pump equipment. WELL REGISTRATION NUMBER 55 PLEASE PRINT CLEARLY SECTION 1. REGISTRY INFORMATION Well Owner Location of Well FULL NAME OF COMPANY ORGANIZATION OR INDIVIDUAL WELL LOCATION ADDRESS IF ANY TOWNSHIP N/S RANGE E/W SECTION MAILING ADDRESS 160 ACRE 40 ACRE CITY / STATE / ZIP CODE COUNTY ASSESSOR S PARCEL ID NUMBER MOST RECENT BOOK MAP PARCEL CONTACT PERSON NAME AND TITLE COUNTY WHERE WELL IS LOCATED TELEPHONE NUMBER FAX SECTION 2. EQUIPMENT INSTALLED DATE PUMP INSTALLED Pitless Adaptor CHECK ONE SEE INSTRUCTIONS FOR DEFINITION Yes No Was a pitless adaptor installed Pump Type CHECK ONE IF YES DEPTH BELOW GROUND....

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How to fill out the Installation Form online

Completing the Installation Form is an essential step for registered well owners to report pump equipment installation to the Arizona Department of Water Resources. This guide will assist you in accurately filling out the form online, ensuring compliance and timely submission.

Follow the steps to correctly complete the Installation Form.

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. Fill out Section 1, which includes enter your registry information. Provide the full name of the well owner, along with the location of the well, including township, range, and section, and a complete mailing address.
  3. In Section 2, detail the equipment installed. Enter the date when the pump was installed and answer whether a pitless adaptor was installed by checking 'Yes' or 'No'. Specify the pump type from the given options and note its rated pump capacity and power type.
  4. Continue to fill out Section 3 for the pump test data. Indicate the date the well was tested and the method of discharge measurement used. Record the static water level, pumping water level, drawdown calculation, and the test pumping rate.
  5. Complete the necessary certifications by signing the form, confirming that the provided information is accurate. Include the date of signature.
  6. After filling out all sections, save your changes. You can then download, print, or share the completed form as needed.

Complete your Installation Form online today to ensure efficient reporting and compliance.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232