Record Series Abstract
Name change to required document reporting for injection Wells,wellhead protection, source water protection. Wellhead Protection Checklist for Small Community & Non-Community Supplies (CN-1083), Application for Authorization to Operate a Class V Injection Well or Storm Water Discharge to the Subsurface or A Modification of a Karst Feature (CN-1106), Dye Trace Registration (CN-1112), Class V Injection Well Fee Worksheet (CN-1189), Plugging and Abandonment Plan (CN-1352), Application for Authorization to Operate a Class II Underground Injection Well (CN-1353), Annual Disposal/Injection Well Monitoring Report (CN-1354), Application to Transfer Permit (CN-1355), Class I and Class II Injection Well Information (CN-1356), Class II Well Rework Report (CN-1357), Completion Form for Injection Wells (CN-1358), Completion Report for Brine Disposal, Hydrocarbon Storage, or Enhanced Recovery (CN-1359), Injection Well Monitoring Report (CN-1360), Notice of Inspection (CN-1361).
Record Series Active
Cut Off at End of
If Other, Explain
Total Retention Years
Total Retention Months
Retention End Action
Cut off files at the end of each calendar year, maintain in agency 5 years after site closure,then Scan/microfilm, destroy paper after verification of microfilm/media, 1 copy to SRC 50 years and 2 copies in agency 50 years.
9th Floor, L & C Tower, 401 Church Street
2000 to current
10 cubic feet
216 cubic feet
Information Shared Outside the State
Federal Environmental Protection Agency
Does this Record Series Contain Sensitive Information?
Maintain in agency 5 years, then scan to microfilm. Maintain 50 years.
Records Center Retention Period
microfilm 50 years
Retention Legal Citation
40 CFR 146.93 maintain records 50 years after closure.
Legal Citation PDF
Legacy Revision UUID