Ges. Owner Owner Phone Number Mailing Address Owner Fax Number City State Well Site: Zip Code Property Address Township Name County Property Identification # Zip Code City Lot # Subdivision County Township Section Range 1/4 of the 1/4 of the 1/4 Directions to the Site WATER WELL INFORMATION Permit To: for a: use: Construct Deepen Repair B. Semi-Private Well A. Private Well Residential Complete if B or C checked: well type: Seal Commercial Dug Driven Bored D. No.
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How to fill out the IL IL482-0620 online
The IL IL482-0620 form is necessary for the application to construct, modify, or abandon a water well in Illinois. This guide will walk you through the process of completing this form online with clear, step-by-step instructions.
Follow the steps to fill out the form effectively.
- Press the ‘Get Form’ button to access the IL IL482-0620 and open it in your preferred online editor.
- Begin by filling in the permit fee section, leaving space for the total amount.
- Enter the local health department's contact details, including address, city or state, zip code, and phone or fax number.
- Provide information for the owner, such as their name, phone number, mailing address, and fax.
- Fill in the well site information, including property address, township name, and county property identification number.
- Specify the type of water well to be constructed, deepened, or repaired, and select the intended use - residential or commercial.
- Indicate if the anticipated pumping capacity will exceed 100,000 gallons per day, if applicable.
- Fill in the well construction or abandonment information. Attach the well log if available.
- If no well log is available, ensure that the well is sealed from bottom to top as per specifications.
- Complete the section regarding existing wells on the property, indicating their status and any obstructions.
- Attach a diagram of the well site, showing pertinent distances and dimensions.
- Detail the water well pump information, including pump type, capacity, and storage cycle.
- Input the estimated start date for the construction work on the water well.
- Certify the application by having a licensed contractor complete their details, including signatures and contact information.
- Finally, review the form thoroughly, save your changes, and choose to download, print, or share the completed document.
Complete your application for the IL IL482-0620 online today!
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