The State of New Hampshire is establishing an assistance initiative for income eligible households to mitigate residential wells that are failing due to the impacts of drought. The initiative will include temporary relief to ensure households have an adequate supply of drinking water in the near-term and long-term relief to mitigate the on-site water supplies over the next several weeks to months.

Temporary Drought Relief Measures – Bottled Water
Households on residential wells earning less than 80% of the area median household income and that have no water due to the ongoing drought may be eligible for bottled water deliveries at no cost for drinking and cooking. 

Please provide the information requested in the survey below so that your initial eligibility to receive bottled water can be determined. Bottled water will be provided to you in the near future if your household is determined to be initially eligible.  The provision of bottled water is intended to be a temporary measure until your household receives assistance to permanently mitigate the well that has been impacted by drought.

Permanent Drought Relief Measures
Households receiving bottled water will need to work with a NH licensed water well contractor or pump installer to complete an application to mitigate the on-site water supply well that has failed due to drought.  The application will be sent to respondents to the survey below in the next couple of weeks. 

Information about income eligibility requirements and the amount of financial assistance for permanent drought relief measures is still under development.  Your eligibility to receive assistance to mitigate your well and continue to receive bottled water as a temporary measure will be determined based on the information you provide in the application and the eligibility requirements for financial assistance.   Additionally, the temporary deliveries of bottled water will be discontinued when drought conditions cease to exist or if the application is not returned within the specified time period on the application.

If you have questions about this form please email: droughtwellinfo@des.nh.gov or call Paige Relf at (603) 271-1355.

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* 1. Provide the following contact information.  *Physical address only

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* 2. Provide a secondary phone number

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* 3. Provide your mailing address, if different from physical address.

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* 4. I am a NH resident inquiring about delivery of bottled water for my primary residence.

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* 5. This assistance is focused to low-income households, specifically those below the 80% Median Household Income of their area.
To check eligibility go to: https://www4.des.state.nh.us/nh-dwg-trust/wp-content/uploads/2020/11/income-eligibility.pdf . Compare your household annual income and number of persons in the home to your county's data.

Does your total household annual income meet the low-income criteria?

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* 6. What was your 2019 total annual household income? 
*the total annual household income includes the income from all occupants of the household

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* 7. If there are circumstances which will significantly lower your household income in 2020, please explain and provide an estimate of your household income in 2020.

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* 8. How many people live in your household?

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* 9. How many people in the household contribute to the household income?

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* 10. Does a residential water supply well exist on your property?

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* 11. Have you stopped all non-essential outdoor water use (irrigation, landscape, etc.)?

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* 12. Does your residential well currently have an adequate supply of water for drinking and cooking?

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* 13. What is the situation with your well and water supply?

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* 14. In what month did you first experience drought issues with your residential water supply?

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* 15. Have you contacted a licensed water well contractor or pump installer to help remedy the issue?

*If no, it is recommended as financial assistance may be available and most contractors have a wait list. Click here to find a contractor: https://www4.des.state.nh.us/Water_Well_Contractors/

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