Nevada Division of Water Resources
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Waiver and Drilling Forms

  • 4011F - Notice of Intent to Drill
  • 4012F - Additional Well Locations
  • 4013F - Well Log Form
  • 4014F - Well Log Plugging and Abandonment Form
  • 4020F - Regulation (R) Waiver
  • 4021F - Construction (C) Waiver
  • 4022F - Domestic (DOM) Well Waiver
  • 4023F - Dewatering (DW) Waiver
  • 4024F - Mining and Milling (MM) Waiver
  • 4025F - Monitor Well (MO) Waiver
  • 4026F - Oil and Gas (OG) Waiver
  • 4027F - Exploratory Well (W) Waiver
  • 4028F - Notice of Intent (3-Day) Waiver
  • 4029F - Plugging (P) Waiver
  • 4030F - Drain (DR) Waiver
  • 4031F - Extension of Time Waiver
  • 4032F - Non-Domestic Well Form
  • 4041F - Affidavit-Relinquishment for Domestic Wells
  • 4042F - Affidavit to Plug Water Well
  • 4056F - Request for Reciprocity
  • 4061F - Accessory Dwelling Form
  • Replacement Well County Recording Cover Page
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    901 S. Stewart St., Suite 2002
    Carson City, NV 89701
    (775) 684-2800
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  • Additional Resources

    • Department of Conservation and Natural Resources
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  • Disclaimer

    Water Resources makes every effort to ensure that information posted on this website is up-to-date, accurate, and reflects the officially promulgated documents. While we try to keep the information timely and accurate, we make no expressed or implied guarantees. We will correct errors as they are brought to our attention.