Get the free Injection Well Closure Notification form - fortress wa

Injection Well Closure Notification Please send completed form to: UIC Coordinator, Water Quality Program, WA Department of Ecology, P.O. Box 47600, Olympia, WA 98504-7600 A Facility: UIC site ID:

How to fill out injection well closure notification

How to fill out an injection well closure notification:

1. Gather the required information: Before filling out the injection well closure notification, make sure you have all the necessary information at hand. This includes details about the injection well, such as its location, identification number, and the type of fluid being injected.
2. Fill out the identification section: Start by providing your contact information, including your name, address, phone number, and email address. This will ensure that the relevant authorities can easily reach out to you if they need any additional information.
3. Provide details about the injection well: In this section, you will need to provide specific details about the injection well. Include the well's identification number, the location (including the county and state), and the purpose of the injection (e.g., disposal, enhanced oil recovery, etc.).
4. Indicate the closure type: Different types of well closure may require different methods. Choose the appropriate closure type, such as temporary closure, permanent closure, or plugging and abandonment. Provide a brief explanation if necessary.
5. Provide closure date and method: Specify the date when the closure occurred or is planned to occur. Additionally, describe the method employed for closure, which could involve plugging the well with cement, installing a mechanical barrier, or other closure techniques.
6. Sign and date the notification form: To finalize the filling process, sign and date the notification form to verify its accuracy and authenticity. Ensure that you have included all relevant information and that the form is complete.

Who needs injection well closure notification?

1. Regulatory agencies: Government regulatory agencies, such as environmental protection or state oil and gas agencies, require injection well closure notifications to monitor and ensure compliance with regulations. These agencies may need this information to track closure activities, assess potential environmental impacts, and maintain records.
2. Well operators: Operators of injection wells are responsible for submitting the closure notification to the relevant regulatory agencies. It is crucial for well operators to provide accurate and timely notification to comply with regulatory requirements and ensure the safe closure of the well.
3. Environmental consultants: Environmental consultants who assist well operators with the closure process may also be involved in preparing and submitting the closure notification. They work closely with well operators to ensure that the required information is included, providing expertise and guidance throughout the closure process.
4. Interested stakeholders: Injection well closure notifications may be of interest to nearby communities, environmental organizations, or other stakeholders concerned with the potential impacts of well closure activities. By sharing this information, transparency is maintained, and stakeholders can stay informed about the closure process and potential environmental implications.

For pdfFiller’s FAQs

What is injection well closure notification?

Injection well closure notification is a requirement by regulatory agencies for the closure of an injection well to be properly notified.

Who is required to file injection well closure notification?

Operators of injection wells are required to file injection well closure notification.

How to fill out injection well closure notification?

Injection well closure notification can be filled out online or submitted to the appropriate regulatory agency in paper form.

What is the purpose of injection well closure notification?

The purpose of injection well closure notification is to inform regulatory agencies of the closure of an injection well and to ensure proper procedures are followed.

What information must be reported on injection well closure notification?

Information such as well location, closure method, closure date, and any remediation activities must be reported on injection well closure notification.

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