State Form 21096 (A1) Application for Well Permit - Indiana

State Form 21096 (A1) Application for Well Permit - Indiana

What Is State Form 21096 (A1)?

This is a legal form that was released by the Indiana Department of Natural Resources - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is State Form 21096 (A1)?
A: State Form 21096 (A1) is the application form for a Well Permit in Indiana.

Q: What is the purpose of a Well Permit?
A: A Well Permit is required to legally drill or deepen a well for the extraction of water in Indiana.

Q: Who needs to complete the application?
A: Anyone seeking to drill or deepen a well in Indiana needs to complete the State Form 21096 (A1) application.

Q: What information is needed on the application?
A: The application requires information such as the location and depth of the well, drilling method, intended use of water, and contact details.

Q: How long does it take to process the application?
A: The processing time for the application varies. It is recommended to contact the Indiana Department of Natural Resources for an estimate.

Q: Can I drill a well without a permit?
A: No, it is illegal to drill or deepen a well in Indiana without a valid Well Permit.

Q: Are there any exemptions to the Well Permit requirement?
A: There are some exemptions to the Well Permit requirement, such as certain types of agricultural, geothermal, and monitoring wells. It is best to consult the Indiana Department of Natural Resources for specific exemptions.

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Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Indiana Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 21096 (A1) by clicking the link below or browse more documents and templates provided by the Indiana Department of Natural Resources.

Download State Form 21096 (A1) Application for Well Permit - Indiana

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