Memphis, TN · Shelby County
Monitoring Well Permit
This permit packet covers temporary monitoring wells that enter Memphis public rights-of-way; developers, contractors, permit holders, or developer’s engineers submit the application and supporting materials to the City Engineer’s Office.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Memphis requires this packet when someone wants to install or abandon a temporary monitoring well that enters city public right-of-way. Applicants first obtain a well permit from the Memphis and Shelby County Health Department and submit a preliminary site plan and approved health department permit to the City Engineer’s Office. The formal submission includes a memorandum of understanding, performance bond, certificate of insurance, fee, and required plans; a separate right-of-way permit may also be required.
Who needs it
A developer, contractor, permit holder, or developer’s engineer seeking to install or abandon a temporary monitoring well in Memphis public right-of-way needs this packet.
Why it needs a notary
The packet has a notary public and commission-expiration block, and says noncorporate Applicant/Well Owner or Applicant’s Contractor signatures on the memorandum must be notarized.
How to get this notarized
- 1
Download the Permit Packet
Get the packet from the City of Memphis website or the Land Development Department at the City Engineer’s Office.
- 2
Complete the Application Materials
Arrange the health department well permit, preliminary site plan, memorandum, bond, insurance certificate, fee, and required plans.
- 3
Book an Online Notary
If a signing party is not a corporation, arrange notarization of that party’s memorandum signature.
- 4
Sign on Video
Meet with a commissioned online notary and sign the memorandum as directed during the remote session.
- 5
Submit to the City
Send the formal application and required supporting items to the Monitoring Well Manager at the City Engineer’s Office.
Preview the form
The blank PDF straight from Memphis. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the monitoring well permit packet?
- Apply for a well permit through the Memphis and Shelby County Health Department, then send a preliminary site plan and approved health permit to the City Engineer’s Office. Submit the formal packet and supporting items after the Monitoring Well Manager’s review.
- Do I need to notarize the memorandum of understanding?
- The form says the Applicant/Well Owner’s or Applicant’s Contractor’s signature must be notarized if that party is not a corporation. It provides notary blocks after the signature lines.
- Can I sign the form with a commissioned online notary?
- Tennessee authorizes remote online notarization by a commissioned online notary registered through the Secretary of State. Check that the notarial act and resulting document meet the city’s submission requirements; confirm with the city or town if unsure.
- What supporting documents are listed in the packet?
- The formal submission lists a completed memorandum of understanding, performance bond, certificate of insurance, $300 processing fee, plans stamped by a Tennessee-licensed professional engineer, and a right-of-way permit if required.