Get Arizona Department Of Water Resources Noia Form

This guide provides detailed instructions for completing Form DWR 55-38, the Notice of Intent to Abandon a Well, online. Users are encouraged to follow these steps carefully to ensure a smooth submission process.

Follow the steps to fill out the Noia form online easily

1. Click ‘Get Form’ button to access the Notice of Intent to Abandon a Well form and open it in your online editor.
2. In the upper right-hand corner of each page, enter the registration number of the well intended for abandonment. If no registration number exists, note this in the remarks section at the end of the form.
3. Section 1 – Registry Information: Mark the box for the type of well to be abandoned. Provide the name of the original well owner, the well drilling firm, and the drilling date if known.
4. Fill in the street address of the property where the well is located, the legal description, and the latitude and longitude of the well location.
5. Section 2 – Owner Information: Complete the well owner's name, mailing address, and contact details. If the owner is an organization, include a contact person's name.
6. Answer the questions in Section 4 by checking the appropriate boxes and providing necessary details regarding contamination and alternative names for the well.
7. Section 3 requires information about the licensed well driller. Ensure you include the necessary details for the well driller or consultant if applicable.
8. In Section 5, fill out the existing borehole and casing data. Specify the dimensions and material details for each component mentioned in the form.
9. For Section 6, indicate the proposed abandonment design and method, providing details about the casing treatment and sealing or fill materials.
10. Attach a well construction diagram that corresponds with the information provided in Sections 5 and 6.
11. Ensure both the well owner and landowner (if applicable) sign and date the form, printing their names and titles where required.
12. Once the form is fully completed, you can download, print, or share it as necessary.

Complete your documents online today for a seamless experience.