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2. In accordance with Laramie Municipal Code, we ask that you complete a short survey about the permitted well on your property. The survey will help us document wells within the city and determine what assistance or resources property owners may need to ensure the safety of their wells and any water drawn from them.

   The Well Owner Letter and hard copy of the survey can be found using this link: https://cityoflaramie.org/DocumentCenter/View/25403/Well-Survey-Letter-and-Survey-with-Well-Name---GENERAL---532023

   Once we receive your information, you will receive follow-up information regarding any applicable permitting or reporting requirements. We will also connect you to appropriate resources for safely operating the well, such as water quality testing and wellhead conditions to prevent contamination.

   If you have questions, please feel free to contact the Natural Resources Manager or the City Manager at 307.721.5226. Thank you for taking the time to complete the survey!

   
   

4. First Name
5. Last Name
6. Date
   Date
8. Address
10. City
11. State
12. Zip
14. Preferred Email
16. 1. Is there a well on your property? If so, roughly where is it located or situated on the lot?
18. 2. If a well exists, has it been used in the last year? If the well is inactive, do you know when it was last used?
20. 3. What is the well being used for? (examples: lawn/landscape watering, household purposes, basement water control)
22. 4. Is the well connected to the City municipal water system?
24. 5. Do you have any concerns with the well that the City may be able to help with? (examples: safety or water quality)
26. 6. Are there any resources the City may provide to help you safely operate the well?
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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