Hickory UWCD # 1 Intent to Drill
All proposed new well locations must be approved by the appropriate water conservation prior to drilling. This notice of intent to drill may be mailed or faxed. The District staff shall review the form and make a preliminary determination on whether the well meets the exemptions provided by district rules and respond to this request within 5 working days. If the preliminary determination is that the well is exempt, drilling may begin immediately upon receiving the approved Notice of Intent to Drill. The drilling of a new well is at your own risk and subject to the rules of the District. It shall be a violation of District Rules for a well owner, well operator, or water well driller to drill any well without the approved Notice of Intent to Drill form filed with the District.
Drilling Company Name
Well Owner Name and Address
Location of well (include approx. lat/long if possible)
Proposed Use (mark all that describe use)
Public Water Supply
Is this a replacement well? If so will old well be capped/plugged?
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