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Board of Health Town of South wick 454 College Highway, South wick, MA 01077 Phone (413) 5691212 Fax (413) 5695284 APPLICATION FOR A WELL DECOMMISSIONING PERMIT ADDRESS OF PROPERTY: NAME OF OWNER:
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How to fill out well decommissioning - town:

01
Gather all relevant information about the well, including its location, size, and depth.
02
Determine the reason for decommissioning the well, such as if it is no longer in use, has become contaminated, or is no longer compliant with regulations.
03
Consult with local authorities or environmental agencies to understand the specific requirements and regulations for well decommissioning in your town.
04
Create a detailed plan that outlines the steps to be taken for decommissioning the well, including any necessary permits or inspections.
05
Ensure that all required forms and documentation are properly filled out, including any application forms, environmental impact assessments, and compliance certificates.
06
Follow the specific guidelines for sealing the well, which may include removing any equipment, cleaning and disinfecting the well, and filling it with appropriate materials.
07
Keep a record of all activities related to the well decommissioning process, including dates, times, and any relevant photographs or documentation.
08
Submit the completed well decommissioning form and any supporting documentation to the appropriate authorities within your town.
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Follow up with the authorities to ensure that the well decommissioning process has been completed to their satisfaction and in compliance with regulations.

Who needs well decommissioning - town:

01
Property owners or landowners who have a well on their property that is no longer in use or needs to be decommissioned for any reason.
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Municipalities or town authorities responsible for managing and maintaining the well infrastructure within their jurisdiction.
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Environmental agencies or regulatory bodies that oversee the compliance and safety of wells within a specific town or region.
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Well decommissioning - town is the process of permanently sealing and abandoning a well that is no longer in use, following specific regulations set by the local town authorities.
The owner of the well or the operator responsible for the well is required to file the well decommissioning with the town authorities.
To fill out the well decommissioning form, the owner or operator must provide detailed information about the well, its location, its current status, and the method used for decommissioning.
The purpose of well decommissioning - town is to ensure that abandoned wells do not pose a threat to public health or the environment, by safely sealing them off and preventing any potential contamination.
The information that must be reported on well decommissioning - town includes details about the well's history, construction, current condition, and the steps taken to properly decommission it.
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