No Well on Property Verification Form

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No Well on Property Verification Form - EMA Well Registration

Please complete the form below if you own property in the Santa Ynez River Valley Groundwater Basin Eastern Management Area (EMA) that does not have a well and you have not already provided your information to us in the Watermark well registration portal.

Questions below with an asterisk (*) are required in order to submit this form. Other questions are optional but completing them will ensure that we have enough information to finalize your verification of not having a well.

If a well is constructed on your property any time in the future or if you have any questions, please contact us at (805) 457-5065 or wellreg-ema@santaynezwater.org, or complete the comment form here.

Email *

First and last name of property owner/representative *

Street address *

APN (###-###-###) *

Phone Number

Verification code listed on flyer (begins with EMA)

Company

By signing your initials below, you verify that you do not have a well on your EMA property. *

Please ignore the incoming email from support@mljenvironmental.com asking to verify your email address.

A copy of your responses will be emailed to the address you provided.

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