N.H. Code Admin. R. We 801.01 - Required Information and Entry Format
(a) "Well Completion
Reports" shall include the following information:
(1) Property owner name;
(2) Building contractor name, if
applicable;
(3) Location of well,
located by:
a. Geographic coordinates provided
by global positioning technology;
b. Enhanced 911 street address, if
available;
c. Tax map and lot
number of the property; and
d. A
hand drawing or site map, if more than one well is located on the
property;
(4) A
statement identifying whether the well site requires a setback reduction
form;
(5) Date well was
completed;
(6) Proposed use of
well;
(7) Reason for constructing
well;
(8) Type of well;
(9) Total depth of well;
(10) Depth to bedrock, if
encountered;
(11) Casing
details;
(12) Method of sealing
casing to bedrock, if applicable;
(13) Screen details, if applicable;
(14) Results, method, and duration of yield
test(s) conducted;
(15) Static
water level, if encountered;
(16) A
statement specifying whether a water quality sample was collected;
(17) A description and depth intervals of
unconsolidated surficial deposits encountered;
(18) Description of competent bedrock type,
if encountered;
(19) Yield test at
various depths, if performed;
(20)
Hydro-fracturing or other well development details, if applicable;
(21) Additional well seals installed, if
applicable;
(22) Special notes, if
any;
(23) Company name;
(24) Date of report; and
(25) License number.
(b) "Well Completion Report" entries shall be
typed or printed.
(c) "Well
Completion Reports" shall be signed by the licensed water well
contractor.
Notes
#2557, eff 12-27-83; ss by #4730, eff 1-15-90; ss by #4898, eff 8-13-90; EXPIRED: 8-13-96
New. #6327, INTERIM, eff 8-24-96, EXPIRED: 12-22-96
New. #6449, eff 1-29-97; ss by #7307, eff 6-13-00; ss by #9179, eff 6-13-08
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