Follow the steps to successfully submit your exception request.

1. Click ‘Get Form’ button to access the MI Request For Well Exception form and open it in the online editor.
2. Begin with Section 1, which requests well information and ‘Proof of No Influence’. Fill in your name, address, phone number, and email. Specify whether the well is located in Plainfield Township or Algoma Township.
3. Indicate the number of wells on your property and attach a map or sketch that shows all wells present, noting the usage of each well.
4. In the exception request subsection, specify whether you are requesting an exception for a proposed new well or an existing well. Check all applicable types of well uses.
5. Provide details about the current well construction. If available, attach the ‘well log’. Fill in the dimensions and methods of construction where applicable.
6. Include any water quality information you possess, especially any PFAS sampling results, and attach the sampling analytical data if available.
7. Specify whether water treatment will be used for your well and identify the types of treatment planned.
8. If applicable, fill out irrigation area details, including usage frequency and average flow rates. Attach a map showing the irrigated area.
9. Provide information on groundwater discharge if the well is not for irrigation or drinking water, including any maps of discharge locations.
10. Add any additional information that can help demonstrate the well's usage will not pose risks to public health or groundwater contamination.
11. Carefully read the final declarations, sign the form, and include the date. Review everything to ensure completeness and accuracy.
12. Once completed, users can save changes, download or print the form, or share it as needed.

Start filling out your MI Request For Well Exception online today to ensure compliance and timely processing.