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N.C. Division of Water Quality
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To preserve, protect and enhance North Carolina's water... dwq banner

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WCCC: Forms

 

Forms Relating to Well Construction/Abandonment

Click Here to Link to the APS webpage with the following forms ...
 
Listed under "Well Construction and Abandonment"
  • (GW-1a) Well Construction Record_Residential
  • (GW-1b) Well Construction Record_Non-Residential
  • (GW-30) Well Abandonment Record
  • Application for Permit to construct a Monitoring / Recovery / Water Supply Well
Additional forms relating to geothermal wells and GW Remediation are also available at the APS website.
 
 

Forms Relating to Certification

Address Change Form
Services Offered Change Form
Reduce Level Request Form (NCWCC-16)
Form needed to submit Continuing Education for approval & PDH credit
 

Forms Relating to Enforcement

Well Contractor Certification Inspection Report (NCWCC-10)
Disciplinary Referral Guidelines
Disciplinary Action Request Form (NCWCC-12)