
DATE RECEIVEDMISSOURI DEPARTMENT OF NATURAL RESOURCES FOR OFFICE USE ONLY GEOLOGICAL SURVEY PROGRAM REF NO.CHARITABLE OR BENEVOLENT ORGANIZATION WELL REPORT AND PUMP INFORMATIONSTATE CERT NO.CR NOREVENUE.
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How to fill out the MO Form MO 780-2185 online
Filling out the MO Form MO 780-2185 online is a straightforward process that requires careful attention to detail. This guide provides clear step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to successfully complete the MO Form MO 780-2185.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin by entering the information received date at the top of the form. This is important for tracking your submission.
- Fill out the section for the Missouri Department of Natural Resources. This includes providing the Geological Survey Program reference number, state certification number, revenue number, and check number if applicable.
- Complete the organization or owner's information. This includes the organization name, contact name, primary phone number, and owner address.
- If applicable, provide the physical address of the well or pump installation, ensuring that this is different than the address provided above.
- Indicate if a variance number has been issued and provide the casing depth letter, responding with 'Yes' or 'No' where required.
- Fill in the water use information, ensuring to check all requirements to qualify for the exemption. This includes confirming that the well does not serve a school or day care facility among other conditions.
- Complete the casing information section, filling out the required details for length, outside diameter, weight, and materials.
- Provide information on casing grout, including the grout type and method of installation.
- Proceed to the liner information to describe length, outside diameter, depth to top of liner, and liner material.
- Indicate the position of seal grout type and provide the method of grout installation.
- Complete the location details of the well or pump, ensuring to include latitude and longitude.
- Fill out the well completion and pump information including well yield, static water level, and pump installation date.
- Finally, ensure all fields have been completed, then save any changes made, download a copy of the form, or print it for submission.
Complete your MO Form MO 780-2185 online efficiently and ensure your information is accurate for submission.
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