The New Jersey Department of Environmental Protection (NJDEP) Division of Water Supply and Geoscience, through its Bureau of Water Allocation and Well Permitting, plays a crucial role in managing the state's water resources. Their responsibilities include the oversight of well installation, usage, and decommissioning to ensure both the safety of public health and the protection of groundwater resources. The Nj DEP Well Search form serves as an essential tool in this process, designed to facilitate the search and documentation of wells for various purposes including environmental investigations, remediation, and the decommissioning of wells. Requesters, who may range from property owners and environmental consultants to drillers and health officers, are required to provide comprehensive information about the well, such as its use, permit number, installation details, and specifics about its construction including depth, diameter, and casing material. Moreover, the form seeks information on the well's location down to its coordinates and the reasoning behind the search, whether it's for decommissioning, environmental assessment, or other. Before any well can be decommissioned, a detailed proposal must be submitted and approved by the NJDEP, ensuring that the methods employed are safe and meet regulatory standards. This thorough process underscores the importance of the Well Search Request in safeguarding New Jersey's water resources and public health.
| Question | Answer |
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| Form Name | Nj Dep Well Search Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | njdep well search form, nj questionnaire pdf, well questionnaire, njdep well search questionnaire |
State of New Jersey
Department of Environmental Protection
Div. of Water Supply and Geoscience
Bur. Of Water Allocation and Well Permitting
Mail Code
401 East State Street – P.O. Box 420 Trenton, NJ
INCOMPLETE WELL SEARCH REQUESTS WILL BE RETURNED FOR MORE INFORMATION
Individual Well Search Questionnaire
REQUESTOR’S NAME:
DRILLER PROPERTY OWNER
ADDRESS/CITY/STATE/ZIP:
ENVIRONMENTAL CONSULTANT OTHER
HEALTH OFFICER
TELEPHONE #: |
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FAX #: |
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REASON FOR WELL SEARCH REQUEST: |
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DECOMMISSION WELL |
ENVIRONMENTAL INVESTIGATION/REMEDIATION |
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OTHER: |
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SEARCH FOR WELL ABANDONMENT REPORTS? |
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NO |
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WELL USE: |
DOMESTIC/POTABLE |
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IRRIGATION |
AGRICULTURAL |
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MONITORING/ENVIRONMENTAL |
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INDUSTRIAL |
PUBLIC SUPPLY |
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OTHER |
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WELL PERMIT NUMBER (if known): |
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LOCAL ID (if applicable): |
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LIST ALL PREVIOUS OWNERS NAMES, BUILDER, ETC.: |
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YEAR WELL WAS INSTALLED: |
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(Approximate if not known) |
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LOT #: |
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BLOCK #: |
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(current and at time of installation) |
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STREET ADDRESS: |
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CLOSEST STREET INTERSECTION: |
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MUNICIPALITY: |
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COUNTY: |
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WELL COORDINATES: |
Easting: |
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Northing: |
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ALL INFORMATION KNOWN ABOUT THE WELL (depth, diameter, casing material, length, driller, etc.)
WELL ABANDONMENT PROPOSAL (must be submitted by a licensed well driller)
DRILLER NAME: |
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REGISTRATION #: |
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METHOD: |
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NJDEP BWSWP USE ONLY |
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DATE: |
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SEARCH PERFORMED BY: |
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WELL PERMIT |
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WELL RECORD |
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WELL DECOMMISSIONING |
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COPY INCLUDED |
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COPY INCLUDED |
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COPY INCLUDED |
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NOT ON FILE |
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NOT ON FILE |
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NOT ON FILE |
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Approval to decommission the well will not be granted until a written proposal outlining the method of decommissioning has been submitted to the Bureau of Water Systems and Well Permitting. Proposal must include total depth, diameter, casing material and length.
Other:
APPROVAL TO ABANDON:
DATE: |
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NAME: |
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APPROVAL #: |
Individual Well Search Questionnaire