Get 2013 Monitoring Well Variance Request Form - Department For ... - Dep Ky

Filling out the 2013 Monitoring Well Variance Request Form is an essential step for individuals and organizations seeking approval for the construction or abandonment of monitoring wells in Kentucky. This guide will provide clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Monitoring Well Variance Request Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by filling out the general information section. This includes entering the name of the person requesting the variance, the quadrangle, code, driller certification number, date of request, and the county.
3. In the well owner identification section, provide the full name, telephone number, address, email, city, state, and zip code of the well owner.
4. Specify the reason for the variance and include effective dates. You should provide any necessary details regarding the well characteristics, including depths to bedrock, water-bearing units, and applicable regulations.
5. Complete the well construction or abandonment requirements section, clearly noting the specifics required for the variance. Be sure to include any supporting documents as mandated.
6. Fill out the casing and screen information section, providing details such as hole diameters, casing dimensions, and materials used.
7. In the sealing material requirements for plugging section, provide information on sealing materials used, including type and dimensions.
8. If applicable, include a sketch map as required by the form, detailing the layout and method related to the construction or abandonment site.
9. Both the driller and well owner must sign to confirm their affirmations regarding compliance with regulatory standards and responsibilities regarding the well.
10. Once all sections are complete and signatures have been obtained, save your changes, and download, print, or share the completed form as needed.

Start filling out your Monitoring Well Variance Request Form online today for timely approval.