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WATER WELL RECORD Original Record Correction Form WWC5 1 LOCATION OF WATER WELL: County: 2 WELL OWNER: Last Name: Business: Address: Address: City: State: 3 LOCATE WELL Fraction First: Division of

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How to fill out water well record form

How to Fill Out Water Well Record Form:

01

Start by entering your personal information at the top of the form, including your name, contact information, and any identification numbers required.

02

Provide details about the location of the water well, such as the address, GPS coordinates, or any other relevant information that can accurately identify the site.

03

Specify the type of well being recorded, whether it is a drilled well, dug well, or any other type.

04

Record the depth and diameter of the well, along with any additional information about the construction or casing materials used.

05

Indicate the date when the well was first constructed, as well as any subsequent modifications or repairs made to the well.

06

Note the source of the water, such as a natural spring, underground aquifer, or any other source.

07

Include information about the well pump, including its type, capacity, and any maintenance or repairs performed on it.

08

Record the water quality test results, if available, including measurements of various parameters such as pH level, turbidity, and presence of contaminants.

09

If the well is connected to a public water system, provide details about the connection and any associated permits or agreements.

10

Finally, sign and date the form to certify its accuracy.

Who Needs Water Well Record Form:

01

Water well installers and contractors: They need to fill out the water well record form after constructing or making modifications to a water well. It helps in maintaining an accurate record of the well's characteristics and history.

02

Water well owners: It is essential for well owners to fill out the water well record form to keep track of their well's information, maintenance, and any changes made over time. This information can be useful for future reference or in case of selling the property.

03

Regulatory agencies: Government agencies responsible for monitoring and regulating water resources may require water well record forms for data collection, compliance, and analysis purposes. These records help in managing water resources effectively and ensuring the safety of the water supply.

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