What information does the well application request?

It asks for the property address, block and lot, owner and well driller details, well type, estimated depth, equipment information, and a sketch of the proposed installation.

What must the proposed installation sketch show?

The sketch must show the distance and location of the well relative to the nearest public roads, buildings, and sewage disposal systems.

Do I need a notary for the well application?

No. The application lists signatures for the well driller and property owner(s), and does not state that a notarized attachment or sworn step is required.

Middletown, MT · Monmouth County

No notary required

Application to Locate and Construct a Well

Well drillers and property owners use this application to provide project details and a proposed installation sketch for a well in Middletown.

What this form is

This application collects the location, ownership, well type, estimated depth, equipment, and installation details for a proposed well. It includes a sketch requirement showing the well’s distance and location relative to public roads, buildings, and sewage disposal systems. The form lists a $50 cost, with an additional $15 if Geographic Information System service is needed.

Who needs it

Well drillers and property owners planning a well in Middletown can use this application to provide the requested project information.

How to submit it

The form names the Middletown Department of Health at 1 Kings Highway, Middletown, NJ 07748, and lists (732) 615-2095. It lists a $50 cost and an extra $15 if GIS is needed.

About notarization

This application is signed without a notary; it lists signatures for the well driller and property owner(s), with no notarized attachment or sworn step stated.

How to submit this form

1
Download The Application
Download the Application to Locate and Construct a Well PDF.
2
Complete The Application
Provide the requested property, owner, well driller, well type, depth, equipment, and purification details.
3
Prepare The Installation Sketch
Show the well’s distance and location relative to the nearest public roads, buildings, and sewage disposal systems.
4
Sign And Submit
Obtain the well driller and property owner signature(s); the form names the Middletown Department of Health as the department.

Frequently asked questions

What information does the well application request?: It asks for the property address, block and lot, owner and well driller details, well type, estimated depth, equipment information, and a sketch of the proposed installation.
What must the proposed installation sketch show?: The sketch must show the distance and location of the well relative to the nearest public roads, buildings, and sewage disposal systems.
Do I need a notary for the well application?: No. The application lists signatures for the well driller and property owner(s), and does not state that a notarized attachment or sworn step is required.
How do I submit the well application?: The form names the Middletown Department of Health at 1 Kings Highway, Middletown, NJ 07748, and lists phone number (732) 615-2095.

Need something notarized?

This Application to Locate and Construct a Well doesn’t need a notary — but if you have another Middletown form that does, a commissioned online notary can help.