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UIC Class V Well Post-Closure Notification Form

Use this form to notify MassDEP of the closure of a UIC Class V well.

MassDEP Underground Injection Control (UIC) Program

The Details of UIC Class V Well Post-Closure Notification Form

What you need for UIC Class V Well Post-Closure Notification Form

You must submit this form if you have completed the closure of a UIC Class V well, in order to obtain final approval of the closure activities from MassDEP.

NOTE: If your original BRP WS 06 UIC registration application was filed through eDEP then you should not be using this downloadable form. Instead, complete and file the same form that is available through your eDEP account.

How to register UIC Class V Well Post-Closure Notification Form

See details in Step 3, below.

Next steps for UIC Class V Well Post-Closure Notification Form

  1. Review the Instructions

    If your original UIC registration was filed by paper, use the first set of instructions.

    If your original UIC registration was filed electronically by eDEP, use the second set of instructions.

  2. Complete the Notification Form

    eDEP Online Filing

    If you cannot use eDEP to file your notification, you may fill out and save the Microsoft Word form on your computer. The PDF version has to be printed out and completed by hand.

  3. Submit your Notification Form

    If not submitting via eDEP, submit your completed notification package to:

    Department of Environmental Protection
    UIC Program
    One Winter Street, 5th floor
    Boston, MA 02108

Contact for UIC Class V Well Post-Closure Notification Form

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