Hydrology Checklist Permission to Drill a Well

Hydrology - Well Drilling Operations Consent Form

FORM BZ/WIA/0002 Water Industry Act 2003 CHAPTER 222, Part V, Chapter II PERMIT APPLICATION WELL DRILLING OPERATIONS CONSENT FORM
  • FORM BZ/WIA/0002

    Water Industry Act 2003
    CHAPTER 222, Part V, Chapter II
    PERMIT APPLICATION
    WELL DRILLING OPERATIONS CONSENT FORM

    Please read through this form and write clearly in the answer spaces.

  • 1.0 Applicant Name

  • 1.2 Address

  • 1.3 Contact Numbers, including the area code

  • 1.4 What is the nature of your interest in the land where well-drilling is to take place?

  • 2.0 Drilling Contractor Details:

  • 3.0 Location/Technical Details:

  • 3.3 Method of Drilling

  • Note:
    Completed forms must be accompanied by - (where applicable)
    1. (1) Two copies of a map on a scale of 1:50,000 showing location of works, well (s);
    2. (2) Copy of Well Driller Licence;
    3. (3) Such other documents as the NHS may require; and
    4. (4) Application fee of BZ$500.00

    I hereby apply for a well drilling permit under the Water Industry Act and declare that to the best of my knowledge and belief the particulars set out in this application are true and correct.



    Signature of Applicant Date