Get the free Potable Well Information Form

This form is designed for individuals to provide detailed information about potable well usage, including contact details, well characteristics, and recent testing information. It is part of the New Jersey Department of Environmental Protection\'s efforts to monitor and manage contaminated site remediation and redevelopment.

How to fill out potable well information form

How to fill out potable well information form

1. Step 1: Obtain the potable well information form from the appropriate health or environmental agency.
2. Step 2: Fill in your personal information including name, address, and contact details.
3. Step 3: Provide details about the well location, including GPS coordinates or landmark descriptions.
4. Step 4: Specify the purpose of the well, such as for drinking water, irrigation, or livestock.
5. Step 5: Indicate the type of well (e.g., drilled, dug, driven) and provide construction details.
6. Step 6: Include information on the depth of the well and the water table level.
7. Step 7: Attach any required diagrams or maps that show the well’s location relative to other structures.
8. Step 8: Review the form for accuracy and completeness before submission.
9. Step 9: Submit the completed form to the designated agency or department.

Who needs potable well information form?

1. Homeowners or property owners with a private water supply.
2. Real estate agents during property transactions involving wells.
3. Environmental health practitioners conducting assessments.
4. Local government departments managing water resources.
5. Regulatory agencies monitoring groundwater quality.

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What is potable well information form?

The potable well information form is a document used to collect data regarding wells that provide drinking water. It includes details about the well's location, construction, water quality, and usage.

Who is required to file potable well information form?

Individuals or entities that own or operate a potable water well are required to file the potable well information form, typically including homeowners, businesses, and municipal water suppliers.

How to fill out potable well information form?

To fill out the potable well information form, provide accurate information about the well's location, depth, construction materials, water quality test results, and any other relevant data as specified on the form.

What is the purpose of potable well information form?

The purpose of the potable well information form is to ensure the safety and quality of drinking water from private wells and to assist regulatory agencies in monitoring and managing water resources.

What information must be reported on potable well information form?

The form typically requires information such as well location, depth, diameter, construction details, water quality test results, and any chemical or biological contaminants detected.