Groundwater Withdrawal Notice of Intent (NOI) New Well Construction
Groundwater Withdrawal Notice of Intent (NOI) New Well Construction
Groundwater Withdrawal Notice of Intent (NOI) New Well Construction
B. Purpose for Groundwater Use: (please indicate number of wells or sources beside description which best
applies, include a combined estimated maximum monthly withdrawal in million gallons next to description)
Water Supply (WS) MG Industrial (IN) MG
Include with the NOI the address of the facility, a map depicting the location of each existing and proposed well(s). Include irrigated areas
if withdrawing water for irrigation purposes. Include Latitude/Longitude for each well.
E. Signature/Certification
I certify that the information herein is complete and all documentation was prepared under my direction or supervision and the information,
to the best of my knowledge and belief is true, accurate, and complete.
Print/Type Name:
Signature: Date:
B. Once the well is drilled, the owner of the well is responsible to submit a Well
Driller’s Record, DHEC Doc. # 1903, or other approved construction forms to: SCDHEC
(Water Permitting Section), 2600 Bull St., Columbia, SC 29201.
A. Complete steps 1-11 as appropriate. For cells #1 – cell #6, complete for the owner of the
facility. For cells #7 - cell #11, complete for the main contact of the facility with the
Department.
B. To the left of the Groundwater Use description put the number of wells owned by the
facility used primarily for that purpose. To the right of the Groundwater Use description,
estimate the amount (in millions of gallons per month) to be used collectively by the
well(s).
D. Include a map of the facility including operating wells, well identification, and a
latitude/longitude of each well.
E. This form should be signed by the individual who will hold ultimate legal responsibility.