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Region 5 Water |  |
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Underground Injection Control - Forms and Sample Documents
National UIC FormsThese UIC forms have been prepared by US EPA headquarters and made available as Adobe Acrobat PDF files. Using the Adobe Acrobat Reader, you can view these files on your computer, download them and then print them if you wish. They can be completed on your PC after downloading or by hand or by typewriter. They cannot be submitted electronically at this time. In addition, three national UIC forms are available in Microsoft Excel (.xls) format: two are courtesy of Quicksilver Resources, Inc. of Gaylord, MI: the Application to Transfer Permit and the Plugging and Abandonment Plan, with its accompanying wellbore schematic as a separate file. The third is the Well Rework Form, courtesy of Dow Chemical. Operators are welcome to download these files and complete them on their computers.
Return to Top of Page Sample UIC Financial FormsThe UIC Program has prepared sample documents to make it simpler for applicants and permittees to meet certain requirements. You may download either a WordPerfect Version 5 or Word97 version of these files or view them onscreen. (More recent versions of word processing software should have no problem reading these files saved using the older releases.) The financial forms are samples: comparable wording is acceptable. Forms will be added as they become available. These forms do not take up much space,the largest is 59 kb and most are between 5 and 30 kb. In addition, a simple discussion of the different types of financial mechanisms and their requirements is available. Return to Top of Page Class V DocumentsReturn to Top of Page Example Permit Application and Other Permitting DocumentsReturn to Top of Page Sample Monitoring Reports and Other Forms
In addition, Region 5 UIC staff members are available to answer questions. Return to Top of Page
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