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Questions to be Answered for a NJDEP Deviation Request for Monitoring Wells

1. The Purpose of the Well Construction:

2. The Location of the Well

Block #:
Lot #:
Property Address:
Name of Monitoring Well:

3. Owner Information

Name of Owner:
Phone Number:
Address of Owner:

4. Name, Address, and Telephone Number of the Driller:

5. The unusual conditions existing at the Site:

6. The reasons that compliance to the rules for minimum standards will not result in a satisfactory well:

7. The proposed method of construction that the well contractor believes shall be adequate for each well:

8. A description of the pertinent features of the proposed well design and construction:

Case Manager:

NJDEP Case #:


59 Highway 31 • PO Box 306 • Flemington • New Jersey • 08822 • (908) 782-2116 • info@stothoff.com

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