Get Well Plugging Registration Record, Form--mo 780-1603 - Dnr Mo
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How to use or fill out the Well Plugging Registration Record, Form--MO 780-1603 - Dnr Mo online
The Well Plugging Registration Record, Form--MO 780-1603 - Dnr Mo is an important document for registering the abandonment of wells in Missouri. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently online, ensuring compliance with regulations.
Follow the steps to accurately complete the Well Plugging Registration Record.
- Click ‘Get Form’ button to obtain the form and open it in the designated editor.
- Begin by filling out the 'Information Supplied By Well Or Pump Installation Contractor' section with the owner's name, telephone number, and address. Ensure to provide accurate contact details.
- If the well site address differs from the owner's address, complete the 'Address of Well Site' section with the correct information including the city, state, and ZIP code.
- Next, input the 'Well Certification or Reference Number' if known, followed by the well number and any applicable variance numbers.
- Move on to the 'Location of Well' section. Here, you will need to provide the legal location, latitude, longitude, and drilling area elevation. Ensure all measurements are entered correctly.
- Fill out the 'Abandonment Information' section. Indicate the former use of the well from the provided options. If it was for monitoring purposes, use the appropriate registration form.
- Document details regarding whether the pump was removed, the depth of the well, and whether a plugging letter was obtained.
- Complete the section regarding the type of fill material used, amount of grout, and any other relevant details concerning the casing and installation methods.
- Indicate whether the well was abandoned due to connection with a public or rural water supply and provide the name of the water district if applicable.
- Provide the date when the well was plugged or excavated, and offer remarks or reasons for the plugging in the designated area.
- Certify the document by having the primary contractor or well owner sign it, and provide the necessary permit numbers and dates.
- Finally, review all entered information for accuracy. Once confirmed, save your changes, and choose to download, print, or share the completed form as needed.
Take action now and complete your Well Plugging Registration Record online to ensure compliance and manage your document effectively.
Abandoned wells must be properly sealed to prevent contamination of groundwater and protect public health. Missouri law mandates that you follow specific closure procedures outlined by the DNR. If you need assistance with this process, including submitting the Well Plugging Registration Record, Form--MO 780-1603 - Dnr Mo., US Legal Forms can provide the necessary paperwork and guidance.