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New Hampshire Department of Environmental Services
PUBLIC GOVERNMENT BUSINESS A to Z LIST

Forms/Applications

License Applications
Contractors or individuals wishing to engage in the business of well construction or the installation of water pumps must be licensed. See our page on licensing for further information.

Well Completion Report Form

  • Well completion reports Adobe Acrobat Reader Symbol
    are required to be submitted to the Water Well Board within 90 days following completion of a well (RSA 482-B:10).

Non-Conforming Well Location Form

  • Non-Conforming well location forms Adobe Acrobat Reader Symbol
    are required to be submitted along with the well completion report when site conditions prevent compliance with the setback requirements of the Water Well Code of Administrative Rules (We 100 - We 1000), or when a well is located closer than 75 feet from an observed source of contamination. Reference We 602.05.
  • This form should not be confused with the Standard Release FormMicrosoft Word Symbolused pursuant to RSA 485-A:30-b, which is required when a well encroaches on a property line. For more information on well siting requirements see Fact Sheet WD-DWGB-21-1. Adobe Acrobat Reader Symbol

Abandoned Well Registration Report

Consumer Complaint Form

  • The Water Well Board advises consumers to consult with their water well contractor or pump installer regarding questions about their water supply system. In the event of a well or pump problem, the Board encourages informal resolution through communication between the consumer and licensed well or pump contractor prior to filing a formal complaint Adobe Acrobat Reader Symbol. Water Well Board staff are available to assist in resolving problems and with information about well construction and pump installation standards. For more information about filing a complaint please contact us.

     

     

    Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. Download a free reader from Adobe.

    Microsoft Word Symbol Microsoft Word format. Download a free viewer from Microsoft.




NH Department of Environmental Services | 29 Hazen Drive | PO Box 95 | Concord, NH 03302-0095
(603) 271-3503 | TDD Access: Relay NH 1-800-735-2964 | Hours: M-F, 8am-4pm

copyright 2014. State of New Hampshire