Njdep individual well search questionnaire form 2025

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  1. Click ‘Get Form’ to open the njdep individual well search questionnaire in the editor.
  2. Begin by filling in your personal information in the 'REQUESTOR’S NAME' section. Indicate your role, such as Driller or Property Owner, and provide your contact details including address, telephone number, and email.
  3. In the 'REASON FOR WELL SEARCH REQUEST' section, select the appropriate reason for your request. Options include Decommission Well or Environmental Investigation/Remediation.
  4. Specify if you are searching for well abandonment reports by selecting 'YES' or 'NO'.
  5. Complete the 'WELL USE' section by indicating how the well will be used, such as Domestic/Potable or Industrial.
  6. If known, enter the WELL PERMIT NUMBER and provide details about previous owners and builders in the designated fields.
  7. Fill out additional information regarding the well's installation year, lot and block numbers, street address, municipality, county, and coordinates.
  8. Lastly, ensure that all required information is filled out accurately before submitting your form for processing.

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