Is your well...
- A minimum 30m / 100ft from potential sources of contamination, 
  such as a septic field, dog run, chicken coop, animal range, 
  compost pile, garbage cans, refuse piles, herbicide or fertilizer 
  use or storage, above and below ground storage tanks, parking
  areas?________________________________________________________________
- In a high, dry location?________________________________________________
- Easily accessible for maintenance?______________________________________

Well Construction
- Is the ground mounded around your well to deflect runoff?________________
- Is the well cap at least 30cm / 12" above-ground and is it watertight?_____
- If your well is drilled, do you have a copy of the driller's log?______________
- Is the well casing grouted and watertight to a depth of 0.9m if your well is
  less than 15m deep or at least 4.6m if your well is deeper than 15m?_____
- Does your water system include backflow prevention devices?_____________

Well Type
- Is your well deeper than 15m / 50ft?____________________________________
- Does your well serve only one house?___________________________________
- Has your water ever been tested for naturally high
  levels of chemical / mineral constituents?________________________________

Well Maintenance & Water Quality
- Has your well and water system been cleaned and disinfected within
  the last six months?___________________________________________________
- Has your well been tested for bacteria with the last 6 months?____________
- Have you pumped your septic system within the last 3 years?_____________
- If your lot is smaller than 1ha (2.5 acres), has your neighbour pumped
  their septic system within the last 3 years?_______________________________
- Do you have enough water all year?_____________________________________

Abandoned Wells
- Are there any abandoned wells on your property or in your neighbourhood?_
- If there are abandoned wells, are they filled and sealed?__________________

Well Quantity
- Do you have adequate water all year round?_____________________________
- Do you use low water use fixtures?______________________________________
- Do you practice low water use gardening?________________________________