Follow the steps to successfully complete your well declaration.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the date field. Enter the current date in the designated space.
3. Fill out the owner information section. Provide your name, phone number, mailing address, city, state, zip code, email, and fax number.
4. Complete the well location information. Enter the site address, legal description, UPC, and pin number. Indicate the zone atlas page and select whether you are providing a zone atlas or site plan, and whether the well is a drinking well, irrigation well, or both.
5. Indicate if the well serves multiple lots. If yes, include a list of lots served by the well. Fill out the county zoning designation and specify whether a special use permit exists for the site.
6. Answer the questions regarding the wastewater system and public sewer availability by checking the appropriate boxes and providing any necessary details.
7. If you have a New Mexico State Engineer Permit, check the box and provide the permit number and conditions, ensuring to include a copy of the permit.
8. For the original issuance date of the State Engineer Permit, ensure it is before December 1987, and provide this date.
9. If submitting a pre-basin well declaration, check the box and include a copy of this documentation.
10. Review the final declaration statement acknowledging the accuracy of the information provided. Sign and date the form.
11. Once you have completed all sections of the form, save your changes, and you may choose to download, print, or share the form as needed.

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