Patagonia, AZ · Santa Cruz County
Bulk Water Permit
This permit form is for applicants seeking to withdraw bulk water from the Town of Patagonia municipal water system.
What this form is
Applicants use this form to request a bulk water permit, which is limited to one week and 20,000 gallons. It asks for applicant contact information, water capacity, and backflow prevention details, and includes a signature and date. The signer agrees to follow the town’s bulk-water regulations, keep a record of water withdrawn, and acknowledges that the permit expires 30 days after issuance.
Who needs it
Anyone seeking to withdraw bulk water from the Town of Patagonia municipal water system needs this permit form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This permit is signed and dated without a notary; the signer also keeps an accurate record of water withdrawn on page two.
How to submit this form
- 1
Download The Permit
Download the Bulk Water Permit form.
- 2
Complete Applicant Information
Enter your name, address, phone number, gallon capacity, and backflow prevention device information.
- 3
Review And Sign
Read the statement about town regulations, permit expiration, and keeping a water withdrawal record, then sign and date the form.
- 4
Submit To The Town
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Bulk Water Permit?
- No. The permit requires a signature and date, not notarization. The signer must also keep an accurate record of water withdrawn on page two.
- How do I submit the Bulk Water Permit?
- Submit it to the city department named on the form; check the city website for current contact details.
- What is the permit limit?
- The form states a one-week permit limit of 20,000 gallons. It also says the permit expires 30 days from the date of issue.
- What information does the form ask for?
- It asks for applicant contact information, gallon capacity, and the type of backflow prevention device. It also includes a signature and date.
Need something notarized?
This Bulk Water Permit doesn’t need a notary — but if you have another Patagonia form that does, a commissioned online notary can help.