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NJDEP Releases Potable Well Information Form

Posted on June 24th, 2014

NJDEP recently unveiled a new Potable Well Information Form. The form will assist the site environmental consultant in gaining background information on the well’s usage, treatment system, and/or past contamination.

NJDEP recently unveiled a new Potable Well Information Form, which can be accessed at the following link:

Potable Well Information Document

The form is meant to be attached to property access letters, which NJDEP previously provided five templates for:

Potable Well Access Letter Document

The form will assist the site environmental consultant in gaining background information on the well’s usage, treatment system, and/or past contamination. The form asks property owners/occupants what the potable well water is used for, the most recent well testing date, and what form of water treatment system (if any) is present.

The use of the form and sample letters from NJDEP is optional. If the site environmental consultant chooses to use their own cover letter and/or tables, the information must be expressed clearly. Any correspondence to the property owner/occupant must summarize actions taken, sampling results, and if necessary, discuss well treatment options.

Additionally, in an effort to streamline the implementation of SRRA, the CEA/Well Restriction Area (WRA) Spreadsheet and Potable Well/Indoor Air Sampling Notification Form and Spreadsheet are no longer required to be submitted to NJDEP for any Immediate Environmental Concerns. The form and spreadsheets have been removed from the NJDEP website.

Kelly Jackson
Environmental Scientist


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