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Groundwater Resources Section
Well Application and Registration Information
Forms & PDFs
Form A - Well Registration Form
Form B - Application for lisence to Abstract and Use Ground Water
Form C - Application for Borehole Drilling Permit
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Data Request
Agrometeorology
Well Registration
Registration of Existing Well
Owner's Information
Name :
*
Individual/Association/Company/Public Authority
Designation (If applicable):
Owner’s Address:
Telephone :
Mobile :
Fax :
Email
Postal Address :
(If different from above)
Well Location Information
(A) Is the address of the well same as above?
Yes
No
Address :
(If different from above)
(B) Property regime of land:
Lease hold
Transport
Title
Other
Please specify Property regime of land :
(C) Area of the land (in Hectares):
(D) Sketch / Drawing of Well location
Please attach with the registration form a sketch or drawing showing where the well is located on the property, relative to the boundaries, road or any other structures on the land.
National Grid Reference of point of water uptake:
Longitude
Latitude
Elevation
UTM Zone (NAD83)
Easting
Northing
Source of coordinates (check one):
GPS
Google Earth
Other
Please specify source of coordinates :
Well Information
Is the Well Construction Report available?
Yes
No
Well construction report (if available)
Type of water point:
Borehole
Dug well
Augured shallow well
Other
Please specify type of water point :
Water point ownership :
Private
Public
Institutional
Water point use :
Domestic
Irrigation
Livestock
Industrial
Other
Please Specify Water point use:
Contractor :
Method of construction :
Air Rotary
Augured
Cable Tool
Dug
Mud Rotary
Other
Please Specify method of construction:
Date of completion
YYYY
MM
DD
Date of Possession
YYYY
MM
DD
If completion date is unknown, provide the date you took possession of the property
Well Diameter (mm):
Completed well Depth (m):
Well Performance or Abstraction rate (m 3 per day / month) :
Other relevant technical information:
DECLARATION OF APPLICANT
I certify that the information provided in this form is correct to the best of my knowledge. I also agree that no decision will be made pursuant to this application until I receive a notification from the Hydrometeorological Services.
Phone
This field is for validation purposes and should be left unchanged.
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