Follow the steps to fill out the Well Permit Application accurately.

1. Click ‘Get Form’ button to obtain the application form and open it in the editor.
2. Begin by entering the owner's mailing address. Make sure to fill in your name, street, city, state, zip code, phone number, property tax identification number, and email. Ensure that the property tax identification number is included, as the application cannot be processed without it.
3. If the site address differs from the mailing address, provide the correct site address in the designated field.
4. Provide the legal description of the property. You can find this information on your tax receipt, deed, or plat book. Fill in the county, subdivision, township, lot number, township (T), range (R), section (Sec), and quarter-section information.
5. Indicate whether the application is for residential or commercial purposes. For residential applications, locate the site by placing 'X' in the appropriate section, and specify if it is for a new house, existing house, well permit, or sewage permit.
6. Answer the questions about any existing wells and sewage systems on the property, selecting the appropriate system preference.
7. For commercial applications, describe the type of business and provide details about the sewage discharge in gallons per day.
8. Attach a detailed site plan in the designated area, showing the location of proposed buildings, existing buildings, and sewage systems, along with lot lines, roads, driveways, and any surface water within 100 feet of the site.
9. Fill out property size details, and indicate whether the property is a split that occurred after July 26, 1997. Also, provide the required permit fees information.
10. Lastly, provide the names and contact information for the owner and any contractors involved, and ensure that the appropriate signatures are obtained. By signing, the applicant agrees to allow representatives from the Chippewa County Health Department to inspect the property.
11. After completing the application, review all fields for accuracy, then save changes, download, print, or share the completed form as necessary.

Complete your Well Permit Application online today to ensure a timely review and approval.