Can I use an electronic signature on this document?

Yes. Electronic signatures are legally enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, provided the signature demonstrates intent, consent, attribution, and record retention. Confirm any industry-specific or state exceptions before relying on e-signatures for filing or court submissions.

What makes the document legally valid?

A combination of accurate measurements, a certified surveyor signature, clear identification of wells, and reliable record retention make the document legally useful. Ensure intent to sign and consent to electronic records per the four-part ESIGN/UETA test before relying on e-signed copies for regulatory or title purposes.

Who must sign or certify it?

The surveyor or licensed professional who performed the measurements should sign and certify the report; title officers or authorized agents may countersign or acknowledge receipt. Use the official surveyor license number and a dated signature to minimize title and permitting challenges.

Are notarization or witness signatures required?

Requirements depend on the document's intended use and local rules. Certain recordings or self-proving affidavits may need notarization or witnesses; check county recorder rules and state law. New York, Florida, and other states may have additional procedural requirements for recording.

How do I fix an error after signing?

If a factual error is discovered, prepare a corrected amendment or overlay survey with a new certification and signatory block. Do not alter the original signed document; create an addendum or corrected report with clear references to the original and a new signature and date.

How long should I retain the signed report?

Retain the original signed report for the active term plus a conservatively long post-termination period. Federal guidance includes IRS recordkeeping (minimum 3 years, IRC §6501(a)); healthcare-related records follow HIPAA retention (45 CFR §164.530(j)). State rules may require longer retention.

Electronic Signature
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Miscellaneous
Property Well Distances Document

Property Well Distances Document

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

PROPERTY WELL DISTANCES DOCUMENT

RECITALS

This Agreement is made as of the Effective Date stated below between Surveyor/Consultant: and Property Owner/Client: .

WHEREAS, Owner is the record owner of the real property located at (the Property), and desires a documented survey of well locations and measured distances; and

WHEREAS, Surveyor is engaged to perform the measurements, produce a written report and map of measured distances, and certify the measured distances subject to the terms and limitations set forth in this Agreement.

SCOPE OF WORK

Surveyor will perform on-site inspection, locate identified well head(s), measure horizontal distances from each well to applicable reference points, produce a written report and a plan view sketch or electronic drawing, and deliver one signed and dated report to Owner. Specific deliverables, assumptions and exclusions are described below.

Detailed Scope and Deliverables

PROPERTY IDENTIFICATION

Legal Description / Parcel ID Primary Contact for Access

WELL DETAILS AND MEASUREMENTS

Measurement Date: . Measurement Units (select applicable): Feet Meters Method/Equipment:

Well 1

Well Identifier

Well 2 (if applicable)

Well Identifier

Well 3 (if applicable)

Well Identifier

CERTIFICATION AND LIMITATIONS

Surveyor hereby certifies that the distances reported in the attached deliverables were measured using the Method/Equipment specified above and represent the horizontal distances observed on the Measurement Date to the best of Surveyor's professional ability. Measurements do not constitute a boundary survey unless expressly stated. Surveyor makes no representations as to subsurface conditions, well yield, water quality or compliance with statutory setback requirements beyond the measured horizontal distances.

Surveyor Name and License

PAYMENT TERMS

Owner agrees to pay Surveyor the fees described below in consideration for performance of the Scope of Work. Unless otherwise agreed in writing, fees cover on-site work and production of the written report and plan.

Total Fee Payment Schedule Late Payment Fee

TERM AND TERMINATION

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated as provided below.

Notice Period for Termination Without Cause Termination for Cause

CONFIDENTIALITY

Each party shall keep confidential all non-public information disclosed in connection with this Agreement and the Survey Deliverables. Confidential information shall not include information that is: (a) in the public domain other than by breach of this Agreement; (b) already known to the receiving party prior to disclosure; or (c) rightfully received from a third party without restriction. Confidential materials may be disclosed to the extent required by law, provided the disclosing party gives prior written notice when lawful and practicable.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of law principles.

ENTIRE AGREEMENT

This Agreement, together with any attachments or deliverables expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior negotiations, representations or agreements, whether written or oral. Any amendment must be in writing and signed by both parties.

OWNER ACKNOWLEDGMENT

Acknowledgement

SIGNATURES

Surveyor/Consultant:

By:

Date:

Property Owner/Client:

By:

Date:

What the Property Well Distances Document Is

Property Well Distances Document records measured distances from a parcel, structure, or improvement to nearby wells (for example, water, oil, gas, or injection wells). It typically includes the parcel legal description, well identifier or permit number, measurement methodology, coordinate references, measurement date, and a surveyor certification. The document supports title review, permitting, land-use decisions, and environmental due diligence by demonstrating whether required setbacks or buffers are met and by providing evidence for lenders, buyers, and regulators during closings or reviews.

Why This Document Matters for Risk and Compliance

A clear Property Well Distances Document reduces ambiguity in closings and permitting, helps verify compliance with setback rules, and documents conditions that affect insurance, lender underwriting, and regulatory obligations.

Who Typically Prepares and Relies on This Document

Typical users include surveyors, title agents, environmental consultants, and municipal permitting staff needing precise well setback measurements for risk assessment.

Surveyors and land planners: record exact distances to support plats and site plans.
Title companies: verify exclusions, easements, or deed restrictions tied to well proximity.
Lenders and developers: evaluate safety buffers, insurance exposure, and permitting constraints.

The document also serves buyers, lenders, and developers who require certainty about site constraints and potential remediation or mitigation obligations.

Primary Roles That Sign or Certify the Document

Licensed Surveyor

Professional land surveyors locate well features, measure horizontal distances with GPS or total station equipment, and supply a signed, certified survey that supports plats, permitting, and legal boundary questions during transactions.

Title Agent

Closing officers and title examiners review the distances to identify recorded exceptions or title endorsements, include findings in commitments, and advise parties or lenders about exceptions, endorsements, or required mitigations tied to well proximity.

Essential Elements to Include in a Professional Report

A thorough Property Well Distances Document bundles measured distances with verifiable metadata and a professional certification so reviewers can confirm accuracy, chain of custody, and applicability to permitting or closing requirements.

Legal Description

Full parcel legal description and parcel identifier used for recording and title comparison.

Well Identification

Well name, API or permit number, operator, and well type to cross-reference regulatory records.

Measurement Data

Measured horizontal distances (feet or meters), measurement points, and any reference benchmarks used.

Coordinates

Latitude/longitude in decimal degrees or NAD83 coordinates for precise mapping and GIS overlay.

Methodology

Survey method, equipment used, measurement tolerance, and environmental conditions at time of measurement.

Surveyor Certification

Signed certification with surveyor name, license number, contact information, and signature date.

Required Fields and Standard Formats

Property Description: Parcel ID, lot, metes-and-bounds

Well Identification: Well name, API or permit number

Measured Distances: Feet or meters between reference points

Coordinates: Latitude and longitude (decimal degrees)

Measurement Date: MM/DD/YYYY of survey or report

Surveyor Certification: Name, license number, signature

Step-by-Step: Prepare and Verify the Document

Follow the steps below to collect, verify, and attach measured well distances before closing or permitting.

01

Order Survey: Engage licensed surveyor to locate wells and record coordinates.
02

Measure Distances: Use GPS or total station; note horizontal distances.
03

Review Regulations: Check local setback rules, county or state codes.
04

Attach and Certify: Include surveyor signature and measurement methodology.

Typical Workflow from Survey to Recording

This workflow shows how a Property Well Distances Document moves from survey creation to permitting, title review, and final recording.

Create Survey: Surveyor collects distances and prepares report.
Sender Uploads: Upload PDF and attach survey certification.
Reviewers Check: Title and permitting review accuracy and exceptions.
Record or Close: Record with county or use in closing package.

How to Configure an Online Completion Workflow

Configure an online workflow to collect surveys, signer information, and certifications prior to distributing to title and permitting teams.

Field	Configuration
Document Template	Upload PDF survey, set required fields
Signer Order	Surveyor signs first, then title reviewer
Authentication	Email + SMS code or ID verification
Auto-archive	Save signed PDF to cloud and record metadata

Platform Capabilities to Support Electronic Completion

Platforms should accept PDF or DOCX, integrate with cloud storage, and support strong authentication for signers and surveyor certifications.

File Formats: PDF and Word DOCX formats accepted
Integrations: Google Drive, Box, NetSuite, Procore
Security: TLS 1.2/1.3 and AES-256 at rest

Typical Timelines and Review Deadlines

Expect review periods and recorder processing times that affect permitting and closings; plan schedules to avoid last-minute delays.

Survey Turnaround:

3–14 business days depending on site access and complexity

Title Review:

1–5 business days after document submission

Permit Review:

Variable: often 2–8 weeks for site-related permits

Recording Processing:

County recorders process in 1–10 business days, varying by jurisdiction

Dispute Resolution:

Allow additional weeks for remediation, endorsements, or boundary corrections

Common Mistakes to Avoid When Preparing the Report

Omitting surveyor certification or signature results in rejection by title and permitting reviewers and may delay closings by days or weeks.
Using inconsistent coordinate formats prevents reliable GIS overlay and can cause apparent discrepancies between survey and regulatory maps.
Failing to reference the official well permit or API number can lead to misidentification and improper setback conclusions.
Submitting unsigned or scanned images without embedded metadata removes chain-of-custody evidence and increases questions about data integrity.

Consequences of Incorrect or Missing Information

Incorrect Distance: May invalidate setback compliance

Missing Certification: Title exceptions or insurer denial

Late Discovery: Post-closing remediation costs

Regulatory Fines: Violations, fines, stop-work orders

Liability Exposure: Increased environmental remediation risk

Recording Rejection: Recorder may refuse documents

Key Milestones from Order to Recording

A sequential view of primary milestones helps teams coordinate survey, review, and recording steps for timely closings or permits.

01

Survey Ordered

Client engages surveyor and provides parcel reference and well leads.

02

Survey Completed

Surveyor performs fieldwork and prepares the certified report and coordinates.

03

Review and Clearance

Title and permitting review for exceptions, endorsements, and regulatory compliance.

04

Recording or Closing

Signed document is recorded or included in the closing package.

eSignature Vendor Comparison for Completing and Signing This Document

Basic feature comparison and starting prices for commonly used eSignature providers; signNow appears first per platform ordering conventions.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No cap	100 envelopes/user/year	Varies	Varies	Varies

Frequently Asked Questions and Troubleshooting

Answers to common questions about legality, signing, notarization, corrections, and retention for Property Well Distances Documents.

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