Get Class V Well Inventory Form

The CLASS V well inventory form is essential for providing the Environmental Protection Agency with information about your well. This guide will help you understand how to complete the form online, ensuring that all required information is accurately provided.

Follow the steps to fill out the CLASS V well inventory form correctly.

1. Click ‘Get Form’ button to access the CLASS V well inventory form and launch it in your online editing tool.
2. Begin by entering the name of the owner or operator of the well in the designated space.
3. Provide the address of the owner/operator, including street, city, state, and zip code.
4. Input the contact phone number of the owner/operator.
5. In the location of well(s) section, specify the county, township, and city/town/village where the well is located.
6. Indicate the type and number of wells, selecting from options such as drywell, septic tank, or other.
7. Include the street address or legal description of the site where the well is located.
8. State the purpose of the well by describing its intended function in the provided space.
9. Detail the nature of the fluid that will enter the well, making sure to explain any important characteristics.
10. Describe the process for well closure, using the space provided to ensure clarity.
11. Enter the maximum injection rate, minimum rate, maximum injection volume, minimum volume, maximum injection pressure, and minimum pressure in the designated fields.
12. Indicate whether the well is registered with the state or county and provide details for any other registrations.
13. Answer yes or no regarding access to a sewer hook-up and surface discharge.
14. Provide a sketch of the wall construction on the back of this form, ensuring it is clear and informative.
15. In the prepared by section, enter your name to indicate who has completed the form.
16. After completing all fields, review your information, and when done, click the appropriate button to save changes, download, print, or share the form.

Complete the CLASS V well inventory form online to ensure proper compliance and reporting.