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APPLICATION FOR PRIVATE WATER WELL PERMIT Pottawattamie County Office of Planning and Development * (712) 328-5792 PERMITS BEING APPLIED FOR THIS PERMIT PACKET CONTAINS AN APPLICATION FOR A PRIVATE.

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How to fill out the Well Permit - Pottawattamie County online

Filling out the Well Permit for Pottawattamie County is essential for ensuring the proper installation of a private water well. This guide will provide step-by-step instructions on how to accurately complete the application online, ensuring a smooth process for obtaining your permit.

Follow the steps to complete your Well Permit application online.

  1. Press the ‘Get Form’ button to access the Well Permit document and open it in the editor.
  2. Identify which permits are being applied for and ensure you select the correct type of permit based on your needs, specifically noting if a public water supply permit is required.
  3. Fill in the property owner's information, including the name, current mailing address, email address, and telephone number. Indicate the preferred method for contact.
  4. Provide the well driller's details such as name, State Registration Number, mailing address, email address, and telephone number. Verify the driller's registration number with the planning office if necessary.
  5. Enter the job site address where the well will be located. If it's the same as the property owner's address, select the ‘Same As Above’ box. If it’s for a new construction, check ‘To be assigned by Planning Department’.
  6. Complete the civil township name and provide the legal description of the property, which can be found on the tax statement or property deed. If lengthy, attach it as instructed.
  7. Input the parcel number from the property tax statement and provide floodplain information if applicable, including any relevant flood zone details.
  8. For the proposed well, select the appropriate use and status codes from the referenced tables, and denote the estimated depth, as provided by the well driller.
  9. If an existing well is present, complete the details including the use code, status code, known depth, and date of construction.
  10. Include any required attachments as indicated, such as the site plan and the site plan checklist, ensuring you follow the specific requirements briefed in the instructions.
  11. After thoroughly reviewing all entered information, save your changes, and choose to download, print, or share the form as needed.

Ensure your water well permit is filed accurately by completing the application online today.

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