Groundwater Forms and Permit Applications

Groundwater Permitting Process

• Monitoring, Recovery, and Large Capacity Water Supply Wells
• Open-Loop Geothermal Injection Wells
• In Situ Remediation, Aquifer Storage and Recovery, and Other Injection Wells

Applications & Reporting Forms

Well Construction Permitting (15A NCAC O2C .0100)

Online Well Construction Record (GW-1) submission (preferred method)

• Large Capacity Water Supply Wells APPLICATION (Form GW-22W)
• Well Construction Variance Request 2C .0100 and 2C .0300 Water Wells (Form GW-22V)
• Monitoring or Recovery Well APPLICATION (Form GW-22M/R)
• Well Construction Record (Form GW-1, downloadable form)
• Well Abandonment Record (Form GW-30)

Central Coastal Plain Capacity Use Area Water Use (15A NCAC O2E .0500) 

(Beaufort, Carteret, Craven, Duplin, Edgecombe, Greene, Jones, Lenoir, Martin, Onslow, Pamlico, Pitt, Washington, Wayne, and Wilson counties)

CCPCUA Water Use Reporting Online (preferred method) (All CCPCUA forms)

• Permit Application, Registration and Compliance Forms (Forms CCPCUA-1, CCPCUA-2, CCPCUA-4, CCPCUA-6 )
• Interactive Data

Underground Injection Control Wells (15A NCAC O2C .0200)

       Geothermal Heating & Cooling Injection Wells

** NOTE:  Effective May 1, 2012, all closed-loop geothermal injection wells are permitted by rule pursuant to 15A NCAC 02C .0217.  All well construction notifications shall be processed via the DWR Regional Offices and on the new form; all old forms are no longer valid.

• Open Loop Geothermal Permit Application
• Closed Loop Geothermal Notification Form
• Closed Loop Geothermal Variance Application Form
• Thermal Conductivity Test Well Notification Form
• Injection Well Status and Permit Rescission Request Form (Form GW-68)

      In Situ Remediation Injection Wells

• Injection Well Status Form (GW-68b)
• Deemed Permitted In-Situ Groundwater Remediation Notification (NOI)
• APPLICATION for Permit to Construct and/or Use A Well(s) For Injection (see application types below) (Form Groundwater Remediation Application)
• Enhanced Electrical Resistance Heating Notification (Form UIC/EERH Notification)
• Microbial Risk Assessment Evaluation Form (Form UIC RA Form w/Microbials)
• Non-Microbial Risk Assessment Evaluation Form (Form UIC RA Form w/No Microbials)
• Enhanced Resistance Heating Notification Form
• Injection Event Record (IER)

      Miscellaneous

• Stormwater UIC Notification Form
• Well Construction Variance Request 2C .0200 Injection Wells (Form UIC Variance Request)
• Aquifer Storage and Recovery Well Permit APPLICATION (Form ASR Well Application)
• Mechanical Integrity Testing - Geothermal Closed-Loop Systems
• Permit Owner / Name Change Form