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Dnr filling blank 2026

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  1. Click ‘Get Form’ to open the dnr filling blank in the editor.
  2. Begin with Section 1: Well Location Information. Fill in the County, WI Unique Well Number, Latitude/Longitude, and other location details as required.
  3. Proceed to Section 2: Facility / Owner Information. Enter the Facility Name, Present Well Owner details, and any relevant License/Permit numbers.
  4. In Section 3: Filled & Sealed Well / Drillhole / Borehole Information, provide the Original Construction Date and check applicable boxes regarding construction type and materials used.
  5. Complete Section 4 by indicating whether pump, liner, screen, casing were removed or left in place. Use Yes/No options as appropriate.
  6. Fill out Section 5: Material Used to Fill Well / Drillhole by specifying the depth of filling material and its description.
  7. Add any additional comments in Section 6 and ensure you complete Section 7 with your name and date of signing before submitting.

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