WELL DECOMMISSIONING PROGRAM
(Sealing Abandoned Wells)

Complete the following information and submit.  Approvals for the incentive payment are based on prioritization and availability of funds.  See Well Decommissioning Program for more detailed information.

  • Please provide the following contact information:

    Owner Name
    Street Address
    City
    State/Province
    Zip/Postal Code
     Phone
    E-mail
Operator Name
Street Address
City
State/Province
Zip/Postal Code
 Phone
E-mail

  • Date

    -- mm/dd/yy

    Location Information:
    Township

  • Section

  • 1/4 Section

    SW 1/4
    SE 1/4
    NW 1/4
    NE 1/4

  • Type of Well                                                    
  • Depth of Well (in feet)           

  • Diameter of Well (in inches)   

Pam Peter
Copyright © 1999 [Adams County SWCD]. All rights reserved.
Revised: 08/30/10