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WELL ABANDONMENT RECORD For Internal Use ONLY: 1. Well Contractor Information: WELL ABANDONMENT DETAILS Well Contractor Name (or well owner personally abandoning well on his×her property) 7a. For
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How to fill out well abandonment record

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How to fill out a well abandonment record:

01
Begin by gathering all the necessary information and documentation related to the well abandonment. This may include the well identification number, location details, details of the well owner, and any relevant permits or licenses.
02
Start filling out the well abandonment record by providing the basic information about the well, such as the well name, identification number, and its location. Include any additional information required, such as the method of abandonment and whether any disposal or treatment of fluids was undertaken.
03
Next, document the reasons for the well abandonment. This could include reasons such as depletion of the water source, contamination, or any other environmental concerns. Be sure to provide a clear and detailed explanation for the decision to abandon the well.
04
Include all the necessary details about the well owner or responsible party. This may include their name, contact information, and any additional identification or licensing information required by local regulations.
05
If any equipment or materials were used during the well abandonment process, document them in the record. This could include details on the type of equipment used, any chemicals or substances introduced, and their disposal or treatment methods.
06
Ensure that all the required signatures and dates are included. This may involve obtaining the signature of the well owner, any relevant authorities, or other stakeholders involved in the abandonment process.

Who needs a well abandonment record?

01
Well owners: It is essential for well owners to maintain a well abandonment record as proof that the well has been properly closed and decommissioned. This can help protect them from potential liabilities or legal issues in the future.
02
Environmental agencies: Local environmental agencies may require well abandonment records to ensure that wells are properly closed in compliance with regulations and to monitor the impact on groundwater resources and the environment.
03
Real estate transactions: In some cases, a well abandonment record may be required during real estate transactions to provide assurance that the property's well has been properly closed and poses no risks.
In conclusion, filling out a well abandonment record involves providing detailed information about the well, the reasons for abandonment, the responsible party, and any equipment used. This record is essential for well owners, environmental agencies, and real estate transactions to ensure compliance and protect against potential liabilities.
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Well abandonment record is a document that records the details and procedures of permanently sealing a well that is no longer in use.
The operator or owner of the well is required to file the well abandonment record.
The well abandonment record should be filled out with detailed information about the well, its location, the sealing procedures, and any other relevant data.
The purpose of well abandonment record is to ensure that wells are properly sealed and pose no risk to the environment or public safety.
The information that must be reported on well abandonment record includes well identification, location, date of abandonment, sealing procedures, and any testing results.
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