Do I need a notary for the Well Water Sample Application?

No. The application asks the applicant to sign and date it, and it does not mention a notarized or sworn attachment or related step.

How do I submit the Well Water Sample Application?

Submit it to Franklin County Environmental Health Department at 6955 Hwy 145, Carnesville, GA 30521. The form lists the department’s application-taking hours.

What information does the application request?

It asks for applicant and property contact details, directions, well type and details, the reason for the request, and a sketch showing the water source in relation to the dwelling or property.

What does the well water sample test cover?

The form says Environmental Health tests individual wells for Coliform and E. Coli, not public water supplies. It lists a $50 charge and says testing takes at least 24 hours.

Franklin County, GA · Franklin County

No notary required

Well Water Sample Application

Franklin County residents and property owners use this application to request testing of an individual well water sample by Environmental Health.

At a glance

Issued by: City of Franklin County · Franklin County, Franklin County, Georgia
Notarization: Not required: file this form without a notary.
Official source: franklincountyga.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests water testing for an individual well and collects property and applicant contact details, directions, well information, and the reason for the request. It also asks the applicant to sketch the water source’s location and sign permission for the health department to enter the property at reasonable hours. The form lists a $50 charge and says the department tests for Coliform and E. Coli.

Who needs it

A property owner or applicant requesting a water sample from an individual well should complete the application and provide directions to the property.

How to submit it

Submit the application to Franklin County Environmental Health Department, 6955 Hwy 145, Carnesville, GA 30521. Applications are taken during the office hours listed on the form.

About notarization

This application is signed and dated without a notary; it does not mention any notarized or sworn attachment or related step.

How to submit this form

1
Download the Application
Download the Well Water Sample Application PDF.
2
Complete the Application
Provide the requested applicant, property, well, and sample request information.
3
Sketch the Water Source
Sketch the water source’s location in relation to the dwelling or property.
4
Submit to the County
Submit the signed application to Franklin County Environmental Health Department at the address shown on the form.

Frequently asked questions

Do I need a notary for the Well Water Sample Application?: No. The application asks the applicant to sign and date it, and it does not mention a notarized or sworn attachment or related step.
How do I submit the Well Water Sample Application?: Submit it to Franklin County Environmental Health Department at 6955 Hwy 145, Carnesville, GA 30521. The form lists the department’s application-taking hours.
What information does the application request?: It asks for applicant and property contact details, directions, well type and details, the reason for the request, and a sketch showing the water source in relation to the dwelling or property.
What does the well water sample test cover?: The form says Environmental Health tests individual wells for Coliform and E. Coli, not public water supplies. It lists a $50 charge and says testing takes at least 24 hours.

Need something notarized?

This Well Water Sample Application doesn’t need a notary, but if you have another Franklin County form that does, a commissioned online notary can help.