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GROUNDWATER DISCHARGE PERMIT CLOSURE FORM GENERAL INSTRUCTIONS 1. The information requested in the enclosed form is required for Groundwater Permit tees wishing to terminate their Groundwater Discharge

How to fill out gw closure statement form

How to fill out gw closure statement form

1. To fill out the GW closure statement form, follow these steps:
2. Open the GW closure statement form document.
3. Begin by filling out the header information, such as the date and information about the groundwater closure.
4. Provide specific details about the groundwater closure, such as the location, reason for closure, and any relevant permits or regulations.
5. Describe the actions taken to properly close the groundwater, including any remediation measures or monitoring programs implemented.
6. Include any supporting documentation or reports that are required to accompany the closure statement form.
7. Review the completed form for completeness and accuracy.
8. Sign and date the form.
9. Submit the completed GW closure statement form to the appropriate authority or regulatory agency.
10. Note: It is important to follow any specific instructions or guidelines provided by the regulatory agency when filling out the GW closure statement form.

Who needs gw closure statement form?

1. Anyone who is responsible for closing a groundwater site or facility may need to fill out the GW closure statement form.
2. This includes individuals, companies, or organizations involved in activities such as drilling, mining, manufacturing, or other operations that may impact groundwater quality.
3. Regulatory agencies or authorities may also require the submission of the GW closure statement form as part of the closure process.

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