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This version of the form is not currently in use and is provided for reference only. Download this version of
State Form 54189
for the current year.
State Form 54189 Indiana Wellhead Protection Phase I Application - Indiana
What Is State Form 54189?
This is a legal form that was released by the Indiana Department of Environmental Management - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 54189?
A: Form 54189 is the Indiana Wellhead Protection Phase I Application.
Q: Who is this form for?
A: This form is for individuals or entities in Indiana applying for Wellhead Protection Phase I.
Q: What is Wellhead Protection?
A: Wellhead protection is a program to prevent contamination of drinking water sources.
Q: What is Phase I of Wellhead Protection?
A: Phase I of Wellhead Protection involves conducting a survey and inventory of potential sources of contamination.
Q: Are there any specific requirements for filling out this form?
A: Yes, there are specific requirements for filling out Form 54189, such as providing information about the drinking water system, potential sources of contamination, and management practices.
Q: What happens after submitting this form?
A: After submitting Form 54189, the information will be reviewed by IDEM and further actions may be required based on the findings.
Form Details:
- Released on February 1, 2010;
- The latest edition provided by the Indiana Department of Environmental Management;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 54189 by clicking the link below or browse more documents and templates provided by the Indiana Department of Environmental Management.
Download State Form 54189 Indiana Wellhead Protection Phase I Application - Indiana
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