
, NJ 08625-0420 E-Mail: Wellpermitting dep.state.nj.us FAX# (609) 633-1231 RE: REQUEST FOR DEVIATION FROM CONSTRUCTION STANDARDS (N.J.A.C.7:9D-2.8). Form must be attached to permit application when submitted for approval. Please include the following: 1. The purpose of the well construction: 2. The location of the well to include a site plan Facility: Address: Municipality: County: Lot: Block: 3. Owner Name: Street: City, State, Zip: Phone #: 4. Name of driller requesting deviation: Street: Ci.
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How to fill out the NJ RE: Request For Deviation From Construction Standards online
This guide provides clear instructions on how to complete the NJ RE: Request For Deviation From Construction Standards form efficiently and accurately. Follow these steps to ensure you are providing all necessary information for your permit application.
Follow the steps to fill out the form correctly.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the purpose of the well construction in the designated field. This is important for the review process, as it outlines the intended use of the well.
- Provide the location details of the well, including a site plan. Fill in the following fields: Facility, Address, Municipality, County, Lot, and Block.
- Enter the owner's information. Include their name, street address, city with state and zip code, and phone number.
- Input the name of the driller requesting the deviation, along with their street address, city, state, zip code, and phone number.
- Describe any unusual conditions existing at the well site that may justify the request for deviation.
- Explain the reasons why compliance with the minimum construction standards will not yield a satisfactory well. This information should support your request for deviation.
- Detail the proposed method of construction that the well contractor believes will sufficiently address the site conditions for each well.
- If there is no existing well record, you must measure the well. Complete and attach a diagram that shows the relevant features of the proposed well design and construction.
- Indicate whether the well is currently in use by selecting Yes or No. If it is in use, list any other applicable permit numbers as required.
- Collect the property owner/water purveyor's signature in the designated section.
- If there is a NJDEP case manager assigned to your request, include their name and provide a contact phone number.
- After you have filled out all necessary sections, attach the completed form to your well permit application. Be sure to save any changes made, then proceed to print or download your completed form for submission.
Complete your NJ RE: Request For Deviation From Construction Standards form online today.
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