Well Forms and Applications

To assist NOI applicants and drillers in locating groundwater basin and sub-basin boundaries, the basins and sub-basins designated by the Department have been added to the website.  This document describes the official boundaries of each of the 46 groundwater basins and 27 sub-basins of the State, which are not included in the five initial Active Management Area (AMA) basins,  in narrative and map form.  

To more easily determine in which basin and sub-basin a proposed well may be located, ADWR recommends referring to the Statewide Map of Groundwater Basins and Sub-Basins showing all the basins and sub-basins of the state. 

Individual AMA boundary maps are available here to download. 

Well, Owners:

If a party wishes to change the well registry to list the party as the registered owner of a well, and they are NOT the landowner, the landowner must authorize the change.  The landowner must sign the Request to Change Well Information (DWR form 55-71A) or form 55-73 Third Party Change of Registered Owner Authorization must be attached to form 55-71A and submitted to DWR with the applicable fees.

Drillers and Well Applicants! ADWR is converting its forms to fillable PDFs, The fillable forms are being uploaded to this webpage as they become available. You can open a form online, complete it, print it on your printer, and send it by US mail to ADWR with the appropriate fees, if applicable. You can also download the form and complete it offline or print a blank fillable form to complete manually. Required fields on the forms are outlined in RED.

Reset buttons in the fillable form clear entries in the entire form or portions of the forms. At the top and bottom of each form is a “RESET” button that clears ALL entries in the document. ADWR suggests that you click on the RESET buttons before starting a new application to clear any extraneous information in the form. You can also save the completed form as a PDF for your records.

If you are drilling any other type of well (inside or outside an AMA), please use the following list:

Reference	Form Name	Application	Instructions	Checklist
55-44A	55-44A Notice of Intention to Drill, Deepen, or Modify a Monitor/Piezometer/Environmental Well
55-43B	55-43B Notice of Intention to Drill and Abandon an Exploration/Specialty Well
55-40D	55-40D Certification of Compliance to Replace an Exempt Well Within an Active Management Pursuant to § 45-454(I)
55-40A	55-40A 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 within 100 feet from a water provider with an assured water supply)
55-40	55-40 Notice of Intention to Drill, Deepen, Replace or Modify a Well
55-38	55-38 Notice of Intent to Abandon a Well
55-40C	45-596(F)&(G) Certification to the Notice of Intention to Drill an Exempt Well for Domestic Use Pursuant to § 45-596(F) & (G) (self-certification for septic tanks and sewer systems)
55-40B	45-454(I) Supplemental to the Notice of Intention to Drill a Second Exempt Well for the Same Non-irrigation Use, At the Same Location, in an AMA Pursuant to § 45-454(I)