Get Gws 68 Form

The Gws 68 Form is essential for providing information about existing wells and their inspection. This guide will help you navigate the process of completing the form online, ensuring that you provide all the necessary details accurately.

Follow the steps to successfully complete the Gws 68 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the form, fill in the permit number, receipt number, division, and well district details at the beginning of the document.
3. Provide the existing well location by specifying the quarter section, township, range, and distance from the section lines, along with the county information.
4. Enter the existing well owner's name and their mailing address, including city, state, zip code, and telephone number.
5. Describe the parcel by including subdivision, lot, and block information, along with the size of the parcel in acres.
6. Indicate the type of existing well by selecting from options like drilled, hand dug, or other types, and provide the approximate distance to the nearest septic tank or sewer line.
7. Answer the questions regarding the well’s cleanliness and maintenance, including details about the ground surface and whether the well is in a well house or vault.
8. Discuss the existing well construction and materials by answering if the well is equipped with a sanitary seal and if the casing has specific conditions.
9. Detail the current uses of the existing well, specifying if they were initiated prior to the cut-off date and including any household, agricultural, or commercial uses.
10. Provide estimated dates for the well's construction, the installation of the pump, and first use, along with the estimated flow rate.
11. Indicate how many other wells are located on the parcel and include associated uses and permit or case numbers.
12. Finally, the existing well owner must sign the form and date it to complete the submission.
13. Upon finishing, review your entries, save your changes, and you may choose to download, print, or share the form as needed.

Start completing your Gws 68 Form online today to ensure compliant well information submission.