Wake County Well Contractor and Pump Installer Registration

Wake County Well Contractor and Pump Installer Registration

Effective January 1–December 31, 2026
Business Name*
Business Owner's Name*

First NameLast Name
Business Mailing Address (street or PO Box)*

Street Address

Street Address Line 2

CityState

ZIP Code (5 digits only)
Business Phone*
Please enter a valid phone number.Format: 000-000-0000.
Business Email Address*
example@example.com
Private Drinking Water WellsPump Install/RepairIrrigation WellsWell Abandonment/RepairEnvironmentalGeothermalRefracturingDown-Hole Camera InspectionWater TreatmentLocation of Wellheads Completed Below Ground
Well Contractor OnlyPump Installer OnlyBoth
Automatically renewable bondCertificate of Continuance I will provide via email to WellWaterSupport@wake.gov
Personnel Certified by the North Carolina Well Contractors Certification Commission as a Well Contractor
List names, certification #, phone number, and email addresses
SP-WP Limited electrical license number
Personnel Authorized to Install Pumps
List names, certification #, phone number, and email addresses
I certify below that I am the owner of this business and the individuals listed above are aware of and understand the requirements of the Regulations Governing Well Construction and Groundwater Protection in Wake County as adopted by the Wake County Board of Human Services effective December 19, 2024. I understand that any person, firm or corporation violating any part of the Regulations or who willfully fails to perform any acts required by these Regulations shall by subject to sanctions as provided in N.C.G.S. 130A-25.*

I am the owner of this business and agree with the statement above and would like to submit this form.
I certify below that I am the owner of this business and the individuals listed above are aware of and understand the requirements of the Regulations Governing Well Construction and Groundwater Protection in Wake County as adopted by the Wake County Board of Human Services effective December 19, 2024. I understand that any person, firm or corporation violating any part of the Regulations or who willfully fails to perform any acts required by these Regulations shall by subject to sanctions as provided in N.C.G.S. 130A-25.*

I am the owner of this business and agree with the statement above AND I would like to continue with Pump Installer Registration.I am the owner of this business and agree with the statement above and do NOT want to continue with Pump Installer Registration.
I certify below that I am the owner of this business and the individuals listed above are aware of and understand the requirements of the Regulations Governing Well Construction and Groundwater Protection in Wake County as adopted by the Wake County Board of Human Services effective December 19, 2024. I understand that any person, firm or corporation violating any part of the Regulations or who willfully fails to perform any acts required by these Regulations shall by subject to sanctions as provided in N.C.G.S. 130A-25.*

I am the owner of this business and agree with the statement above.
I am the owner of this business and agree with the statement above and would like to submit this form.
Please verify that you are human*
Should be Empty: