Do I need a notary for the Well Permit Application?

No. The application has an applicant signature line but no notary block. For wells that are not irrigation-only, the landowner must submit a Water Quality Assessment report before final inspection.

How do I submit the Well Permit Application?

Submit it to McIntosh County Building & Zoning at P.O. Box 2694, 100 Madison Street, Darien, GA 31305. The form lists a $50 permit fee.

What information does the application request?

It asks for the date, map and parcel number, homeowner and contractor contact information, work address, contractor license number, and applicant signature.

McIntosh County, GA · McIntosh County

No notary required

Application for Well Permit

McIntosh County homeowners and well contractors use this application to request a permit for a well or an irrigation-only well.

At a glance

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

What this form is

This application requests a McIntosh County well permit and collects the work address, map and parcel number, homeowner and contractor contact details, and contractor license number. The application lists a $50 permit fee and includes a checkbox for irrigation-only wells. For wells that are not for irrigation only, the landowner must request a Water Quality Assessment from the Department of Public Health and turn in the report before the final inspection.

Who needs it

A landowner or contractor seeking a permit for well work in McIntosh County should complete this application.

How to submit it

Submit the application to McIntosh County Building & Zoning, P.O. Box 2694, 100 Madison Street, Darien, GA 31305. The form lists a $50 permit fee and phone number 912-437-6603.

About notarization

This application is signed and dated without a notary; for non-irrigation wells, the landowner must submit a Water Quality Assessment report before final inspection.

How to submit this form

1
Download the Application
Download the McIntosh County Application for Well Permit PDF.
2
Complete the Application
Fill in the date, map and parcel number, homeowner details, work address, and contractor details, including the license number.
3
Gather the Required Report
For a well that is not irrigation-only, request a Water Quality Assessment and submit its report before final inspection.
4
Submit to the County
Submit the signed application and $50 permit fee to McIntosh County Building & Zoning at the address listed on the form.

Frequently asked questions

Do I need a notary for the Well Permit Application?: No. The application has an applicant signature line but no notary block. For wells that are not irrigation-only, the landowner must submit a Water Quality Assessment report before final inspection.
How do I submit the Well Permit Application?: Submit it to McIntosh County Building & Zoning at P.O. Box 2694, 100 Madison Street, Darien, GA 31305. The form lists a $50 permit fee.
What information does the application request?: It asks for the date, map and parcel number, homeowner and contractor contact information, work address, contractor license number, and applicant signature.
Is a Water Quality Assessment required?: The form says the landowner must request a Water Quality Assessment from the Department of Public Health and turn in the report before final inspection. It says this is not necessary for irrigation-only wells.

Need something notarized?

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