This is a legal form that was released by the New York State Department of Environmental Conservation - a government authority operating within New York. Check the official instructions before completing and submitting the form.
Q: What is Form 85-12-4?
A: Form 85-12-4 is a Notice of Intention to Plug and Abandon form.
Q: What is the purpose of Form 85-12-4?
A: The purpose of Form 85-12-4 is to notify the authorities of the intention to plug and abandon a well in New York.
Q: Who needs to fill out Form 85-12-4?
A: Individuals or companies planning to plug and abandon a well in New York need to fill out Form 85-12-4.
Q: Are there any fees associated with Form 85-12-4?
A: Yes, there may be fees associated with submitting Form 85-12-4. Check with the regulatory authority for more information.
Q: What information is required on Form 85-12-4?
A: Form 85-12-4 requires information about the well, the operator, and the proposed plugging and abandonment activities.
Q: Is Form 85-12-4 specific to New York?
A: Yes, Form 85-12-4 is specific to New York and is used for plugging and abandonment activities in the state.
Q: Is there a deadline for submitting Form 85-12-4?
A: The regulatory authority may have a specific deadline for submitting Form 85-12-4. Check their guidelines or regulations.
Q: What happens after submitting Form 85-12-4?
A: After submitting Form 85-12-4, the authorities will review the information and may require additional documentation or inspections before approving the plugging and abandonment.
Form Details:
Download a fillable version of Form 85-12-4–27B by clicking the link below or browse more documents and templates provided by the New York State Department of Environmental Conservation.