Get the free Abandoned Well Referral Form - Texas Department of Licensing ... - tdlr state tx

The DLR as 16 TAC 76.1011 (Memorandum of Understanding between the Texas Department of. Licensing and Regulation ... for referrals of complaints regarding abandoned and/or deteriorated wells; under

How to fill out abandoned well referral form

How to fill out abandoned well referral form:

1. Identify the required information: Start by identifying the information that needs to be provided on the abandoned well referral form. This may include details such as the location of the well, the well owner's contact information, and any relevant observations or comments.
2. Gather the necessary documentation: Before starting to fill out the form, gather any necessary documentation related to the abandoned well. This could include any previous inspection reports, photographs, or other relevant evidence.
3. Complete the owner information section: Begin by filling out the owner's information section on the form. This typically includes fields for the owner's name, address, phone number, and email. Ensure that this information is accurate and up to date.
4. Provide the well details: Next, provide the details of the abandoned well. This may involve specifying the well's location, such as the address, GPS coordinates, or a description of the surroundings. Additionally, include details about the well's construction, type, depth, and any other relevant information.
5. Include any observations or comments: If there were any observations or comments made during the inspection or assessment of the abandoned well, provide them in the designated section of the form. This could include notes on the well's current condition, potential hazards, or any other relevant information.
6. Attach supporting documentation: If there is any supporting documentation that should accompany the abandoned well referral form, such as photographs or inspection reports, attach them securely to the form. Ensure that all attachments are labeled appropriately for easy reference.

Who needs abandoned well referral form:

1. Environmental agencies: Environmental agencies at the local, state, or federal level may require the use of abandoned well referral forms to document and assess abandoned wells within their jurisdiction. These forms help track and monitor abandoned wells to ensure their proper closure or remediation.
2. Well drilling and construction companies: Well drilling and construction companies often encounter abandoned wells during their projects. The use of an abandoned well referral form allows them to report and document these discoveries, ensuring proper procedures are followed for public safety and regulatory compliance.
3. Property owners and managers: Property owners and managers who discover abandoned wells on their properties may need to fill out an abandoned well referral form to report and seek assistance or guidance on appropriate actions to take. This form helps authorities and experts understand the extent of the issue and provide necessary support.

Overall, filling out an abandoned well referral form requires accurately providing information about the well and its owner, including any observations or comments. This form is essential to various stakeholders involved in monitoring, reporting, and addressing abandoned wells.

For pdfFiller’s FAQs

What is abandoned well referral form?

The abandoned well referral form is a document used to report abandoned wells to the appropriate regulatory agency.

Who is required to file abandoned well referral form?

Anyone who is aware of an abandoned well is required to file the abandoned well referral form.

How to fill out abandoned well referral form?

To fill out the abandoned well referral form, you need to provide information about the location of the abandoned well, your contact information, and any additional details about the well.

What is the purpose of abandoned well referral form?

The purpose of the abandoned well referral form is to facilitate the identification and remediation of abandoned wells that may pose environmental or safety risks.

What information must be reported on abandoned well referral form?

The abandoned well referral form typically requires information such as the well's location, status, and any known environmental or safety concerns.

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