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Wisconsin Dnr Well Abandonment Form 2015-2026

Use a Wisconsin Dnr Well Abandonment Form 2015 template to make your document workflow more streamlined.

Program and conduct involved. Personally identifiable information on this form is not intended to be used for any other purpose. Return form to the appropriate DNR office and bureau. See instructions on reverse for more information. Route to DNR Bureau: Verification Only of Fill and Seal Drinking Water Watershed/Wastewater Waste Management Other: 1. Well Location Information County 2. Facility / Owner Information WI Unique Well # of Removed Well Hicap # ___ ___ ___ ___ ___ Latitude /...

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What is the Wisconsin DNR Well Abandonment Form

The Wisconsin DNR Well Abandonment Form, known as form 3300 005, is a crucial document used to officially declare the abandonment of a well in the state of Wisconsin. This form is essential for ensuring that the well is properly sealed and that the groundwater resources are protected from contamination. It is required by the Wisconsin Department of Natural Resources (DNR) and must be completed by the well owner or a designated representative. The form captures vital information about the well, including its location, depth, and the reason for abandonment.

Steps to complete the Wisconsin DNR Well Abandonment Form

Completing the Wisconsin DNR Well Abandonment Form involves several important steps:

  • Gather necessary information about the well, including its location, depth, and construction details.
  • Provide the reason for abandonment, which may include factors such as contamination or lack of use.
  • Include the signature of the well owner or authorized representative, ensuring that the document is legally binding.
  • Submit the completed form to the appropriate DNR office, either electronically or via mail.

Legal use of the Wisconsin DNR Well Abandonment Form

The Wisconsin DNR Well Abandonment Form is legally recognized and must be used in compliance with state regulations. Proper completion and submission of this form are essential to avoid potential penalties. The form serves as a legal record that the well has been abandoned and sealed according to state guidelines, which helps protect public health and the environment. Failure to submit the form may result in fines or other legal repercussions.

How to obtain the Wisconsin DNR Well Abandonment Form

The Wisconsin DNR Well Abandonment Form can be obtained through the Wisconsin Department of Natural Resources website or by contacting your local DNR office. It is available in a downloadable format, allowing users to fill it out electronically or print it for manual completion. Ensuring you have the most current version of the form is important, as regulations and requirements may change over time.

State-specific rules for the Wisconsin DNR Well Abandonment Form

Wisconsin has specific regulations governing the abandonment of wells, which are outlined in the state’s administrative code. These rules dictate how wells should be sealed, the information required on the abandonment form, and the timelines for submission. It is crucial for well owners to familiarize themselves with these regulations to ensure compliance and protect groundwater resources.

Key elements of the Wisconsin DNR Well Abandonment Form

Key elements of the Wisconsin DNR Well Abandonment Form include:

  • Well identification details, such as the well number and location.
  • Information regarding the well construction, including depth and type.
  • The reason for abandonment, which helps the DNR understand trends in well usage.
  • Signature of the well owner or authorized representative, confirming the accuracy of the information provided.

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