Township Name - Clinton County, Illinois - State of Illinois - clintonco illinois 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the Owner section, including your name, phone number, and mailing address. Ensure all details are accurate for effective communication.
3. In the Well Site section, provide the property address along with the township name and county. This is crucial for identifying the location of your water well.
4. Select the type of permit you are applying for under WATER WELL INFORMATION. Choose from options like Construct, Deepen, Repair, or Seal based on your needs.
5. Fill out the WELL CONSTRUCTION OR ABANDONMENT INFORMATION section. If a well log is available, attach it; otherwise, ensure to seal the well properly as per guidelines.
6. Complete the LICENSED CONTRACTOR CERTIFICATION by providing details about your licensed contractor and obtaining their signature to validate the application.

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