Get Form Gw-5

Filling out the Form GW-5 online can be a straightforward process when approached step-by-step. This guide is designed to assist users in navigating the form's components and ensuring all necessary information is accurately reported.

Follow the steps to complete the Form GW-5 online.

1. Click the ‘Get Form’ button to retrieve the form, ensuring it opens for editing in your browser.
2. In the section labeled 'Contact Information', indicate your relationship to the well by selecting either Owner, Driller, or System Provider. Then, fill in your name, address, and phone number.
3. For 'Well Location', input the physical address of the well, specifying the County/City, Subdivision Name, Section, Block, Lot, and Tax Map/GPIN #. Include Latitude and Longitude coordinates, selecting the appropriate horizontal datum and source of location information.
4. In the 'Well Construction' section, provide the date when the well construction started and completed. Note the static water level in feet, the casing size and material, and whether the casing was pulled. Additionally, detail the Depth of Fill, Type and Source of Fill, and the Grout used during construction.
5. Indicate if the well has been disinfected by checking yes or no, and include the date of disinfection if applicable.
6. In the 'Certification' section, read the certification statement carefully. You must sign and date the form, including your license number to verify your authority in submitting the document.
7. Once all necessary fields are filled out, you can save your changes, download a copy of the form, print it for your records, or share it as required.

Complete your Form GW-5 online today to ensure timely processing of your well completion report.