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Water Well Individual Record Request Ministry of the Environment FORM A Clear Form Instructions Please print if completing by hand. Legal sized paper is preferred when printing. Water Well Record
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How to Fill Out Water Well Individual Records:

01
Start by gathering all necessary information about the water well, such as its location, date of construction, and well owner's contact information.
02
Fill in the basic details of the water well, including the well identification number, depth of the well, and the method used to construct the well.
03
Provide information about the well casing, such as the material used, the diameter and length of the casing, and any observations regarding its condition.
04
Record the type and condition of the well screen, including details about its diameter, length, and any observations regarding its condition.
05
Document the pump installation details, such as the pump type, horsepower, and depth setting.
06
Include information about the well cap or seal, noting its type, condition, and any observations regarding potential contamination risks.
07
Write down the information related to the well's water production, including the yield, pumping rate, and static water level.
08
Record any observations about the water quality, such as color, odor, or the presence of sediment.
09
Make sure to document any maintenance or repairs done on the well, including the date, description of work performed, and the contractor's information if applicable.
10
Finally, sign and date the record to verify its accuracy.

Who Needs Water Well Individual Records?

01
Homeowners with private water wells need individual records to track the history and maintenance of their wells.
02
Well drillers and contractors may require individual records to comply with regulatory requirements and ensure proper well management.
03
Environmental agencies and health departments often request individual well records to monitor water quality and ensure public health and safety.
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Water well individual record is a documentation of the details and information related to a specific water well, such as its location, construction, and maintenance history.
The owner or operator of the water well is required to file the individual record.
The water well individual record can be filled out by providing accurate and complete information about the water well, including its location, construction details, and maintenance records.
The purpose of the water well individual record is to keep track of the history and condition of the water well, to ensure proper maintenance and management.
The information reported on the water well individual record should include details such as the well location, construction materials, drilling method, pump type, and maintenance records.
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