Cap It Online Application:

Use this convenient online application, or download a printable version of the Cap It application by clicking HERE. (NOTE: Format is .pdf, viewable and printable using Adobe Acrobat Reader. Obtain a free verion of this application at www.adobe.com.
Property Owner:
Work Phone:
Home phone:
Property Owner's Address:
City:
State: Zip:
Property Resident (if not Owner):
Home Phone:

Well Information:
What is the size of your well? 1", 2", 4", 30", Don't Know
What is the depth of your well?
Have you used well since replacing ? Yes, No, Don't Know
Does well still have casing? Yes, No or Don't Know
Does well still have a pump? Yes, No or Don't Know
Does well have a seal or cap? Yes, No or Don't Know

Application Submission:
By submitting this online form, I hereby give employees, agencts and contractors of the James City Service Authority Right of Access to perform all work necessary on the above property for the sole purpose of properly abandoning any unused well(s).

This Right of Access is granted to the following conditions:

Name of Authorized Applicant:
Please note that JCSA will maintain the information contained in this application solely for the Cap It program and NOT for sale or marketing purposes. Submission is no guarantee of application acceptance. Thank you for your interest in Cap It.


"Let's be Water Smart" is a public/private water management initiative of the James City Service Authority. The goal of Let's be Water Smart is to promote responsible water usage in James City County, Virginia. For more information or to become a Water Smart partner, contact JCSA at P.O. Box 8784, Williamsburg, VA 23187

feedback@bewatersmart.org
Cap It Home Page
Why we need to Cap It
Dangers of Open Wells
Finding Old Wells
Capping Wells
Message to Residents
Apply for Free Well Abandonment
Cap It is a "Let's be Water Smart" program. "Let's be Water Smart" is a public/private water management initiative of the James City Service Authority. The goal of Let's be Water Smart is to promote responsible water usage in James City County, Virginia. For more information or to become a Water Smart partner, contact the JCSA at P.O. Box 8784, Williamsburg, VA 23187. feedback@bewatersmart.org