Drinking Water & Well Forms

Well Construction, Reconstruction, or Decommission

  1. Application For Inspection Of Well Construction, Reconstruction Or Decommissioning (PDF)
  2. Driller Notification Form (Fax) (PDF)
  3. Guidelines for Well Inspection Application (PDF)
  4. List of Well Drillers That Work in Jefferson County (PDF)

Submit Online 

Driller Notification Form

Potable Water Review

  1. Declaration of Restrictive Covenant (PDF)
  2. Declaration of Well Easement (PDF)
  3. Determination of Adequate Potable Water (PDF)
  4. Two Party Well - Well Operation and Maintenance Agreement (PDF)

Public Water Supply Technical Assistance

  1. Application For Public Water Supply Well Site Inspection. (PDF)