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Wells
 updated May 22, 2007

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Permits, Forms, and Applications

Documents in this section are presented in various formats and may require a viewer to open them properly.  This section contains all forms ADWR currently has available online.  If you do not find the correct document here, try the [Publications] section.

Professional registration requirements for persons filing hydrogeologic and engineering studies

Effective, 04/17/2009, the Arizona Department of Water Resources requires hydrologic, geologic and engineering reports, studies, drawings and maps, specifications, analyses or related data submitted to support the evaluation of applications for various types of Department permits or approvals provided under Arizona Revised Statutes (A.R.S.) Title 45 that qualify as the practice of geology or engineering to be signed and sealed by a professional geologist or qualified professional engineer who is registered in the State of Arizona under the authority of A.R.S. Title 32, Chapter 1. Click to view the complete announcement (pdf).

Agricultural Best Management Practices - Reports and Forms

 

Assured and Adequate Water Supply Microsoft Word 97 Document

Please be sure to use the most up to date form below.

For list of Public Notice of Assignment of Certificate of Assured Water Supply, click here.

For list of Determinations of Adequate Water Supply, click here.

Please contact the Office of Assured and Adequate Water Supply at (602) 771-8599 for assistance with determining committed water demands in a geographic area.

Contact the Office of Assured and Adequate Water Supply at (602) 771-8599 for assistance in preparing and filing any of the application forms in this section.

  • Notification of Conveyance of Extinguishment Credits forms - . doc Microsoft Word 97 Document (86KB) .pdf  (66KB)

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  • Professional Registration Requirements for Persons Filing Hydrogeologic and Engineering Studies with ADWR 4 17 2009
  • List of Mandatory Adequacy Jurisdictions.doc pdf icon (86KB)
  • List of Qualified Platting Authorities
  • List of Municipal Water Providers Designated As Having an Assured or Adequate Water Supply –Updated; May 1, 2009
  • List of Issued Determinations of Assured and Adequate Water Supply– June 1, 2009 pdf icon
  • Guidelines for Hydrologic Studies for Assured and Adequate Water Supplies
  • Generic Demand Calculator
  • Designation Demand Worksheet
  • Service Area Establishment
  • Assured Water Supply Fact Sheet
  • Public Records Request Form

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    Well Permitting/Notice of Intent (NOI)

    ***ATTENTION - FORM UPDATE - NEW REQUIRED INFORMATION***

    NOI Well Drilling Forms have been Modified!  Information on Boundaries of Groundwater Basins and Sub-basins is Now Available on the ADWR Website!

    The ADWR form Notice of Intent to Drill, Deepen, Replace or Modify a Well (DWR 55-40) has been modified to require applicants to indicate whether the water to be pumped from the proposed well will be used in the same groundwater basin where the well is to be located.   Please download and use the new forms.  Effective immediately, only the new forms will be accepted.

    To assist NOI applicants in locating groundwater basin and sub-basin boundaries and for general knowledge, we are adding the Department’s Basin and Sub-Basin Designations—June 1984 to our website.  This document, describing in narrative and map form 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 basins, was published as part of the Findings and Order of the Director designating the basins and sub-basins pursuant to ARS Section 45-404 on June 21, 1984 click here to download official basin/subbasin boundaries outside AMAs.  It may be helpful to first download a statewide map showing all of the basins and sub-basins of the state to better estimate what basin and sub-basin in which the proposed well may be located, before searching the official 1984 boundaries document click here to download statewide basin/sub-basin map, including the five AMAs.  You can also download maps of each AMA click here for Phoenix AMA map, click here for Pinal AMA map, click here for Prescott AMA map, click here for Santa Cruz AMA map, click here for Tucson AMA map.

    ***ATTENTION WELL DRILLERS - GPS REQUIREMENTS***

    ALSO NEW:  Effective immediately, the only acceptable method used to determine Latitude and Longitude is GPS.  The USGS Quad Map and conventional survey methods are no longer allowable options.  The Well Driller Report and Log (form DWR 55-55), and the Well Abandonment Completion Report (form DWR 55-58) have been updated to reflect these changes and may be downloaded now.

  • 55-0001 Application for a Permit to Drill or Operate a Non-Exempt Well Within an AMA Pursuant to A.R.S. 45-599 Form Instructions
  • 55-36 Well Owner’s Notification of Abandonment Form Instructions
  • 55-38 Notice of Intent to Abandon a Well Form Instructions
  • 55-39 Notice of Well Capping Form Instructions
  • 55-40 Notice of Intent to Drill, Deepen, Replace or Modify a Well Form Instructions
  • 55-41Notice of Intention to Deepen , Replace or Modify a Non-Exempt Well Form
  • 55-41a Notice of Intention to Drill a Non-Exempt Well pursuant to a Non-General Industrial Use Permit Form Instructions
  • 55-43B Notice of Intent to Drill and Abandon an Exploration/Specialty Well Form Instructions
  • 55-44A Notice of Intent to Drill, Deepen, or Modify a Monitor/Piezometer/Environmental Well Form Instructions
  • 55-55 Well Driller Report and Well Log Form Instructions
  • 55-56 Pump Installation Completion Report Form Instructions
  • 55-57 Project Completion Report for Mineral Exploration Drilling Form Instructions
  • 55-58 Well Abandonment Completion Report Form Instructions
  • 55-65 Late Registration of a Well Form Instructions
  • 55-71A Request to Change Well Information Form Instructions
  • 55-75 eNOI Password request
  • 55-90 Well Construction Supplement Form
  • Public Land Survey: Understanding Cadastral Location/Legal Description Instructions
  • Exempt Well Certification of Compliance with A.R.S. § 45-454(C) or Request for Exemption Pursuant to A.R.S. § 45-454(D)
  • Exempt Well for Domestic Use Pursuant to § 45-596(F) & (G)
  • Legal Requirements for Septic Setbacks 45-596 F & G and R12-15-818
  • One Hundred (100) Foot Separation between Proposed Well Location and Septic Systems or other Hazards
  • Remediation Well Certification of Compliance with A.R.S. § 45-454(C) or Request for Exemption Pursuant to A.R.S. § 45-454(F)
  • Second Exempt Well for the Same Non-irrigation Use, At the Same Location, in an AMA Pursuant to § 45-454(I)

    • Recharge Program Application

    See this section for information about Recharge Permit Applications and Guides.

     

    Statement of Claimant/New Use Summons

    Filing an Amendment?
    If you find it is necessary to file an amendment to a previous statement, the appropriate forms are on the Forms page under the Amendments heading. Regardless of where the property is located, you may choose one of four forms – Domestic, Irrigation, Stockpond or Other Uses.

        Amendments

     

    Surface Water Rights Adobe Acrobat Document

     

    Ground Water Rights Adobe Acrobat Document Microsoft Word 97 Document

     

    Groundwater Withdrawal Permits Adobe Acrobat Document Microsoft Word 97 Document

    • 132 Application for Permit to Use Water to fill or Refill a Body of Water in an AMA [ Form ] [ Instructions ]
    • 134 Temporary Emergency Permit to Use Water to Fill or Refill a Body of Water [ Instructions ]
    • 513 Application for Permit to Withdraw Groundwater for Dewatering Purposes in an AMA [ Form ] [ Instructions ]

    • 514 Application for Permit to Withdraw Groundwater for Mineral Extraction & Metallurgical Processing [ Form ] [ Instructions ]

    • 515 Application for Permit to Withdraw Groundwater for General Industrial Use [ Form ] [ Instructions ]
    • 516 Application for Permit to Withdraw Poor Quality Groundwater [ Form ] [ Instructions ]
    • 518 Application for Permit to Withdraw Groundwater for Temporary Dewatering Purposes [ Form ] [ Instructions ]
    • 519 Application for Permit to Withdraw Groundwater for Drainage Purposes [ Form ] [ Instructions ]
    • 519.01 Application for Permit to Withdraw Groundwater for Hydrologic Testing Purposes [ Form ] [ Instructions ]
    • 520 Notification of Change of Ownership of a Groundwater Withdrawal Permit [ Form ] [ Instructions ]
    • 1041 Application for Water Exchange Permit [ Form ] [ Instructions ]
    • Status for Groundwater Withdrawal Permits[ update ]

     

    Current Annual Reports for 2008 - Phoenix, Pinal, Prescott, Tucson AMAs

    Review Withdrawal Fees by AMAacrobat icon

    The Annual Reports were updated for 2008 on Thursday January 12th, 2009

    Current Annual Reports for 2008 - Santa Cruz AMA Adobe Acrobat Document

    Review Withdrawal Fees by AMAacrobat icon

    The Annual Reports were updated for 2008 on Thursday January 12th, 2009

    •  Online Annual Reporting (eAR) for Short Form, Individual User, and ID Summary and Zero Use Reports: Login to File -

    • The archived annual reports for 2007are here

    Well Abandonment Handbook Adobe Acrobat Document

     

    Well Meter Malfunction Microsoft Word 97 Document

    Other ADWR Documents

    If you do not find the correct document here, try the [Publications] section.

     

     

     

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    Arizona Department of Water Resources
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    Phoenix, Arizona 85012

    Effective November 28th, 2005, our location & Driving Directions to ADWR
    ADWR privacy and web site     Disclaimer.

    Phone: (602) 771-8500
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