***ATTENTION - FORM UPDATES AND REQUIRED INFORMATION***
ADWR forms are periodically updated to include new information needed to issue a well permit or authorization to drill a well. Please bookmark this page
and use this webpage to download the latest version of each form as needed. Please do not reduce the size of the forms. Effective immediately, only new forms will be accepted.
Location of Groundwater Withdrawals
Driller and Well Applicants! The ADWR form Notice of Intent (NOI) to Drill, Deepen, Replace or Modify a Well (DWR 55-40) has been modified to require drillers and applicants to indicate whether the water to be withdrawn from the proposed well will be used in the same groundwater basin where the well is to
To assist NOI applicants and drillers in locating groundwater basin and sub-basin boundaries, the Department’s Basin and Sub-Basin Designations—June 1984 has been added to the website. This document describes the official boundaries of each of the 46 groundwater basins and 27 sub-basins of the state not included in the five initial Active Management Area (AMA) basins in narrative and map form. Click here to download the official basin/sub-basin boundaries outside AMAs.
To more easily determine what basin and sub-basin a proposed well may be located, ADWR recommends referring to the Statewide Map of Groundwater Basins and Sub-Basins showing all the basins and sub-basins of the state before refining your search of the official 1984 boundaries document.
Click here to download the Statewide Map of Groundwater Basins and Sub-Basins.
Individual AMA boundary maps are available here to download. Click here to download individual AMA Maps.
Geographic Location Requirements
Drillers! The Well Driller Report and Log (form DWR55-55) and the Well Abandonment Completion Report (form DWR55-58) now require Latitude and Longitude measured by GPS or a more accurate type of survey. Please provide this information on all reports. Measurements must be reported in the
NAD83 datum and in degrees, minutes, decimal seconds (ddd°mm’ss.ss”). The USGS Quad Map is no longer an acceptable method for determining and reporting geographic locations.
Drillers and Well Applicants! The landowner on which any well is drilled, modified, or abandoned must approve the actions to be taken on their property. All NOIs have signature blocks for these authorizations. If you are filing the NOI electronically, or the landowner is not available to sign the original NOI, the form DWR 55-72 “Landowner Authorization to Drill or Abandon a Well on Landowner’s Parcel” can be used in place of a signature on the NOI. Download the form below.
** Please note: The following pdf documents are best viewed using Adobe Reader XI
Permits, Forms and Applications
|55-36||Well Owner’s Notification of Abandonment|
|55-39||Notice of Well Capping|
|55-55||Well Driller Report and Well Log|
|55-56||Pump Installation Completion Report|
|55-57||Project Completion Report for Mineral Exploration Drilling|
|55-58||Well Abandonment Completion Report|
|55-65||Late Registration of a Well (if well was drilled prior to 1988)|
|55-71A||Request to Change Well Information|
|Online Change of Well Ownership|
|55-72||Landowner Authorization to Drill or Abandon a Well on Landowner's Parcel|
|55-73||Third Party Change of Owner Authorization|
|Public Land Survey: Understanding Cadastral Location/Legal Description|
|Legal Requirements for Septic Setbacks 45-596 F & G and R12-15-818|
|Request for an Extension of Time to Submit Information for an Application|
|One Hundred (100) Foot Separation between Proposed Well Location and Septic Systems or other Hazards|