Water Well Construction Report

This form must be completed in FULL within 30 days of constructing, repairing or modifying a water well. 

Water Well Construction Report

Steps

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    1. 310 E. Torrance Avenue, Pontiac, Illinois 61764
      Livingston County Health Department
    2. WATER WELL CONSTRUCTION REPORT

      Complete within 30 day of well completion.

    3. Type of Well
    4. Driven Well:
    5. Bored Well:
    6. Buried Slab?
    7. Drilled Well: PVC Casing
    8. Drilled Well: Steel Casing
    9. Mechanically Driven?
    1. Environmental Health


      Mailing Address
      310 E Torrance Avenue
      Pontiac, IL 61764

      Phone: 815-842-5916
      Fax: 815-842-4070