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  • Mo Form Mo 780-2185 2018

Get Mo Form Mo 780-2185 2018-2026

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.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin by entering the information received date at the top of the form. This is important for tracking your submission.
  3. 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.
  4. Complete the organization or owner's information. This includes the organization name, contact name, primary phone number, and owner address.
  5. If applicable, provide the physical address of the well or pump installation, ensuring that this is different than the address provided above.
  6. Indicate if a variance number has been issued and provide the casing depth letter, responding with 'Yes' or 'No' where required.
  7. 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.
  8. Complete the casing information section, filling out the required details for length, outside diameter, weight, and materials.
  9. Provide information on casing grout, including the grout type and method of installation.
  10. Proceed to the liner information to describe length, outside diameter, depth to top of liner, and liner material.
  11. Indicate the position of seal grout type and provide the method of grout installation.
  12. Complete the location details of the well or pump, ensuring to include latitude and longitude.
  13. Fill out the well completion and pump information including well yield, static water level, and pump installation date.
  14. 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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