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Groundwater Management/Underground Injection Control/Wellhead/Source Water

RDA Number
2474
Effective Date
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
Yes
Cut Off at End of
Calendar Year
If Other, Explain
site closure
Total Retention Years
50
Total Retention Months
0
Retention End Action
Destroy
Disposition Notes
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.
Allotment Code
327.39
Record Location
9th Floor, L & C Tower, 401 Church Street
File Arrangement
Alphabetical/Numerical
Date Range
2000 to current
Annual Accumulation
10 cubic feet
Current Volume
216 cubic feet
Record Value
Administrative
Legal
Audit Requirements
Both
Information Shared Outside the State
Yes
Shared Agencies
Federal Environmental Protection Agency
Essential Record
No
Confidential
No
Does this Record Series Contain Sensitive Information?
No
Agency Retention
Maintain in agency 5 years, then scan to microfilm. Maintain 50 years.
Records Center Retention Period
microfilm 50 years
Legacy Revision UUID
909