Get Request For A Waiver To Drill Observation Or Monitor Well (s)

Completing the request for a waiver to drill observation or monitor wells is a crucial step for those involved in well drilling projects. This guide provides clear, step-by-step instructions on effectively filling out the form online, ensuring that you provide all necessary details accurately.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the waiver form and open it for editing.
2. Begin by entering the applicant's information. Fill in the name, title, company, street address or P.O. box, city or town, state, and zip code of the responsible party for drilling and plugging the monitor well(s).
3. Provide the telephone number of the responsible party. Ensure that the number is accurate for further communication regarding the application.
4. State the purpose and anticipated duration of the well(s) in the designated field to clarify the intent of the waiver request.
5. Accurately input the location details of the well by supplying the Public Land Survey System (PLSS), GPS coordinates, and map datum. If multiple wells are included for the same project, use the accompanying form.
6. Complete the sections for Latitude (N/S), and Longitude (E/W), including the UTM coordinates for both east and north, as well as the County Assessor Parcel Number (APN) and Well ID or name.
7. If applicable, indicate if this waiver is an amendment to a prior waiver or if other monitoring wells are already in place, providing the original waiver number where necessary.
8. Prepare to submit essential attachments with the waiver request, including a schematic drawing of the well construction, an affidavit of intent to abandon listing all wells by ID/name, a large-scale location map, and a small-scale site detail map.
9. Fill in the signatory contact information with the telephone number, printed name, mailing address, signature, and the date of signing. Ensure that city, state, and zip code are printed clearly.
10. Once all fields are completed, review the form for accuracy, then save your changes. You may choose to download, print, or share the completed form as needed.

Start filling out your document online today for a smoother application process.