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Public Records Request Form

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
  • PLEASE NOTE: When clicking the above "Form" link, two separate windows will open pop-ups.  After both finish opening, form 55-0001 should appear to be "on top" of all the other windows.  The form 55-90 should be "below" that window.  When closing the first window, the second window should show up as long as no other windows were selected.
  • Your web browser MUST allow pop-ups from this site for this to work.  If you have a message in a yellow bar at the top of your web browser "Pop-up blocked. To see this pop-up or additional options click here..." then click to "Always Allow Pop-ups from This Site..." to see both files.
• 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
• 55-41 Notice of Intention to Deepen, Replace or Modify a Non-Exempt Well Form Instructions
  • PLEASE NOTE: When clicking the above "Form" link, two separate windows will open as pop-ups.  After both finish opening, form 55-41 should appear to be "on top" of all the other windows.  The form 55-90 should be "below" that window.  When closing the first window, the second window should show up as long as no other windows were selected.
  • Your web browser MUST allow pop-ups from this site for this to work.  If you have a message in a yellow bar at the top of your web browser "Pop-up blocked. To see this pop-up or additional options click here..." then click to "Always Allow Pop-ups from This Site..." to see both files.
• 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

• New Use Summons, why did I get it and what does it mean?
   
• What are the Gila River and Little Colorado River general stream adjudications?
   
• Watershed maps
      Gila River System map
      Watershed map
      Large watershed map (12 MB)
      Attention dial-up Internet users: The above file will take over 25 minutes to download.
   
• Instructions on filling a Statement of Claimant for:
  [ Domestic Use ] [ Irrigation Use ] [ Other Uses ] [ Stockpond ]

• Statement of Claimant Forms for Domestic Use:
  [ Agua Fria ] [ Lower Gila ] [ San Pedro ] [ Upper Gila ] [ Upper Salt ] [ Upper Santa Cruz ] [ Verde ] [ Little Colorado River ]

• Statement of Claimant Forms for Irrigation Use:
  [ Agua Fria ] [ Lower Gila ] [ San Pedro ] [ Upper Gila ] [ Upper Salt ] [ Upper Santa Cruz ] [ Verde ] [ Little Colorado River ]

• Statement of Claimant Forms for Other Use:
  [ Agua Fria ] [ Lower Gila ] [ San Pedro ] [ Upper Gila ] [ Upper Salt ] [ Upper Santa Cruz ] [ Verde ] [ Little Colorado River ]

• Statement of Claimant Forms for Stockpond:
  [ Agua Fria ] [ Lower Gila ] [ San Pedro ] [ Upper Gila ] [ Upper Salt ] [ Upper Santa Cruz ] [ Verde ] [ Little Colorado River ]

• Additional Forms:
  [ Gila River Assignment of Claim ] [ Well - Change of Ownership ] [ Little Colorado River Assignment of Claim ]

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

• Gila River: [ Domestic ] [ Irrigation ] [ Stockpond ] [ Other Uses ] includes the following Adjudicated Watersheds: Agua Fria, Lower Gila, San Pedro, Upper Gila, Upper Salt, Upper Santa Cruz, and Verde
   
• Little Colorado River: [ Domestic ] [ Irrigation ] [ Stockpond ] [ Other ]

 

Surface Water Rights

• Change In Beneficial Use
• Permit To Appropriate Public Water Or To Construct A Reservoir
• Request For Assignment Of Surface Water Applications And Claims
• Statement Of Claim Of Right To Use Public Waters Of The State Of Arizona
• Amendment to Statement Of Claim Of Right To Use Public Waters in Arizona
• Permit To Appropriate Public Water Of The State Of Arizona - Instream Flow Maintenance
• Application To Sever And Transfer
• Claim Of Water Right For A Stockpond
• Public Notice Subscription Service
• Renewal - Public Notice Subscription Service

 

Ground Water Rights

• Service Area Establishment
  • Service Area Right Procedures for Establishment
  • Service Area Right Initial NOI
  • Service Area Right Final Petition
• Notification of Purchase or Sale of Flexibility Account Credit
• Notification of Change of Ownership of an Irrigation Grandfathered Right (Form 58-500)
• Notification of Change of Ownership of a Type 1 Non-Irrigation Grandfathered Right (Form 58-600)
• Notification of Change of Ownership and/or Change in Point of Withdrawal for a Type 2 Non-Irrigation Grandfathered Right (Form 58-700)
• Notification of lease of a type 2 non-irrigation grandfathered right
• Notification of Change of Ownership of an Irrigation Authority (Form 60-500)
• Service Area Right Relinquishment Notice
• 469 Application to Retire an Irrigation GFR for a Non-Irrigation (Type 1) Use [ Form ] [ Instructions ]
• Application for Development Plan Approval (Type 1) [ Form ]

 

Groundwater Withdrawal Permits

• 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

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

• BMP Groundwater Summary - Annual Water Withdrawal and Use Report

• GSF Summary - Annual Groundwater Savings Facility Report

• Groundwater Summary - Annual Withdrawal and Use Report

• Groundwater Summary - WQ - Annual Withdrawal and Use Report

• ID Summary - Annual Withdrawal and Use Report

• INA Summary - Annual Withdrawal and Use Report

• Individual User Summary - Annual Water Withdrawal and Use Report

• Irrigation District Summary - Annual Withdrawal and Use Report

• Interim Use Report Summary

• Provider Summary - Annual Water Withdrawal and Use Report

• RW - Summary - Annual Recovery Well Report

• Schedule A - Report of Pumping

• Schedule A-GSF - Report of Groundwater Withdrawals and In-Lieu Water Received

• Schedule AWS - Assured Water Supply Supplement for Designated Providers

• Schedule BMP - BMP Worksheet Report

• Schedule BMP - BMP Worksheet Report, Irrigation Rights within the BMP Farm Unit

• Schedule D - Report of Water Deliveries to Other Water Rights

• Schedule E - Water Received from Other Sources

• Schedule F-1 Part 1 - Population

• Schedule F-1S - Small Water Provider

• Schedule F-2 - Deliveries To Turf-Related Facilities Filing on Their Own Behalf

• Schedule G-1 - Metal Mining Facilities

• Schedule G-2 - Turf-Related Facilities

• Schedule G-3 - Electrical Power Operations

• Schedule G-4 - Sand and Gravel Facilities

• Schedule G-5 - General Industrial Users

• Schedule G-6 - Cattle Feedlot Operations

• Schedule G-7 - Dairy Operations

• Schedule G-8 - Large Cooling Users

• GSF Schedule 72 - Report of In-Lieu Water Delivery to GSF

• RW - Schedule 74 - Report of Recovered Water

• USF - Schedule 71 - Report of Water Delivered to USF

• Worksheet 1 - Pumpage Measured by Meter or Other Totalizer Recorder Devices

• Worksheet 2 - Pipe Flow with Pumpage Calculated Using Electrical Energy Records

• Worksheet 3 - Pipe Flow with Pumpage Calculated Using Natural Gas Energy Records

• Worksheet 4 - Open Channel Flow with Pumpage Calculated Using Electrical Energy Records

• Worksheet 5 - Open Channel Flow with Pumpage Calculated Using Natural Gas Energy Records

• Worksheet 6 - Pumpage Calculated Using Hour Meters

• WS - Schedule 73 - Report of Delivery by Storage PermitsWater Duty Exemption Summary

• WQARF Worksheet - Water Quality Assurance Revolving Fund

• Short Form - Annual Water Withdrawal and Use Report

• USF - Summary - Annual Underground Storage Facility Report (Permit)

• UWS - Summary - Annual Underground Water Storage Report (Long Term Storage)

• WDES - Summary - Annual Water Withdrawal and Use Report

• WS - Summary - Annual Water Storage Report
   

•  Online Annual Reporting (eAR) for Short Form, Individual User, and ID Summary: eAR User Guide-

Login through Arizona Secure Access Gateway .

• The archived annual reports for 2007 are here.

Current Annual Reports for 2008 - Santa Cruz AMA

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

• Water Summary - Annual Water Withdrawal and Use Report

• Water Summary - WQ - Annual Water Withdrawal and Use Report

• Provider Summary - Annual Water Withdrawal and Use Report

• Schedule A - Report of Water, Other than Stored, From Wells

• Schedule E - Water Received from Other Sources

• Short Form - Annual Water Withdrawal and Use Report

•  Online Annual Reporting (eAR) for Short Form, Individual User, and ID Summary: eAR User Guide-

Login through Arizona Secure Access Gateway .

• The archived annual reports for 2007are here

Well Abandonment Handbook

• Well Abandonment Handbook

 

Well Meter Malfunction

• Water Measuring Device Malfunction Report Form

Other ADWR Documents

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

• Public Records Request General Form doc (86KB)

 

 

 

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