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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 53796
for the current year.
State Form 53796 Wellhead Protection Phase II Five Year Update Survey - Indiana
What Is State Form 53796?
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 State Form 53796?
A: State Form 53796 is the Wellhead Protection Phase II Five Year Update Survey for Indiana.
Q: What is the purpose of the survey?
A: The purpose of the survey is to update and evaluate the wellhead protection program in Indiana.
Q: Who is required to complete this survey?
A: Public water systems in Indiana are required to complete this survey.
Q: What is wellhead protection?
A: Wellhead protection is a strategy to prevent contaminants from entering drinking water sources.
Q: Why is wellhead protection important?
A: Wellhead protection is important to ensure the safety and quality of drinking water.
Q: Is the survey mandatory?
A: Yes, the survey is mandatory for public water systems in Indiana.
Q: When is the deadline to complete the survey?
A: The deadline to complete the survey is determined by IDEM and will be specified in the survey instructions.
Q: Who should I contact for more information about the survey?
A: For more information about the survey, you can contact the Indiana Department of Environmental Management (IDEM).
Form Details:
- Released on November 1, 2011;
- 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 53796 by clicking the link below or browse more documents and templates provided by the Indiana Department of Environmental Management.
Download State Form 53796 Wellhead Protection Phase II Five Year Update Survey - Indiana
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