The URL can be used to link to this page

Home My WebLink AboutDDW-2024-014605DRILLER (START) CARD for Exchange Application: E6304(35-14065) IMPORTANT: THIS CARD MUST BE RECEIVED BY THE DIVISION OF WATER RIGHTS PRIOR TO THE BEGINNING OF WELL CONSTRUCTION -- REQUIRED FOR WELLS DEEPER THAN 30 PROOF DUE/EXPIRATION DATE: June 8, 2022 START CARDS CAN BE SUBMITTED ONLINE WITH THE WATER RIGHT NUMBER OR NON-PRODUCTION WELL NUMBER AND THE PIN. ONLINE SUBMISSION WATER RIGHT: E6304 ONLINE SUBMISSION PIN: 516195 ONLINE SUBMISSION URL: http://waterrights.utah.gov/welldrilling/startcardOnline.asp OWNER/APPLICANT: _____________________________________________________________________________ Oakley City MAILING ADDRESS: ______________________________________________________________________________ PO Box 129, Oakley, UT 84055 PHONE NUMBER: ________________________________________________________________________________ -- WELL LOCATION: ________________________________________________________________________________ S 164' E 38' from N4 Cor, S22, T 1S , R 6E, SLB&M WELL UTM COORDINATES: ________________________________________________________________________ Easting: 478685 Northing: 4508497 WELL ACTIVITY: NEW(X) REPLACE( ) REPAIR( ) DEEPEN( ) PROPOSED START DATE: _________________________________________________________________________ PROJECTED COMPLETION DATE: __________________________________________________________________ LICENSE #: __________LICENSEE/COMPANY: ________________________________________________________ ________________________________________________ ______________________________________ Licensee Signature Date NOTICE TO APPLICANT: THIS CARD IS TO BE GIVEN TO A UTAH-LICENSED WATER WELL DRILLER FOR SUBMITTAL TO THE DIVISION OF WATER RIGHTS PRIOR TO WELL CONSTRUCTION. STATE OF UTAH DIVISION OF WATER RIGHTS Phone No. 801-538-7416 - FAX No. 801-538-7467 COMMENTS: ____________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ START CARDS MAY ALSO SUBMITTED BY PHONE*, FAX, OR EMAIL. PHONE: 801-538-7416 - FAX: 801-538-7467 - EMAIL: waterrights_wells@utah.gov *IF THE START CARD IS PHONED IN, THEN THE COMPLETED AND SIGNED START CARD MUST BE RETURNED TO THE DIVISION OF WATER RIGHTS BY FAX. EMAIL, OR MAIL.