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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Well Permit Number in the designated field. Ensure this is accurate as it is crucial for identification.
- Fill in the Well Owner Information, including the name, mailing address, city, state, and telephone number with area code.
- Complete the Well Location section by providing details such as distances from section lines and subdivision information. If applicable, include GPS coordinates using the specified settings.
- Report on drilling specifics including ground surface elevation, drilling method, total depth, and materials encountered during drilling.
- Indicate casing details including outside diameter and wall thickness for both plain and perforated casings.
- Document grouting records and disinfection methods used during well construction.
- Finally, ensure that all required signatures are included before submitting your completed form to the State Engineer’s Office.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4.8 Satisfied (207 Votes) |
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