Well Records Submission and Forms

Water Construction, Modification and Abandonment record completion can be reported via the EEC eForms portal.

graphic image of link to eForm page to submit well records

Instructional documents for using the eForm:

Documents and Forms

DOW6050 Water Well Bacterial Report and Chain of Custody - Use form DOW6050 to report bacterial testing results within ten (10) days of the receipt of the analytical results from the laboratory.

Uniform Kentucky Well Construction Record eForm Instructions - All Kentucky Certified Well Drillers should use the eForm to report installation of monitoring or water wells within sixty (60) days of completion.

Water Well Owners Guide

DOW6020 Water Well Owners Guide - A Kentucky Certified Well Driller shall provide this guide, Form DOW6020, to the homeowner upon completion of a well.

Supplemental Forms

Well Construction Diagram - Monitoring Well Flush Mount - This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a well installation using a diagram.

Well Construction Diagram - Monitoring Well Stick Up - This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a well installation using a diagram.

Well Construction Diagram - Water Well - This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a well installation using a diagram.

Sketch Map Example - This is an optional form that may be used by Kentucky Certified Well Drillers to record information about a well's location in relation to nearby landmarks.

Well Abandonment Hand Dug Well - Instructions for abandoning hand dug water wells.

DOW6030 Kentucky Water Well Variance Request - Use Form 6030 to request a variance in the construction of a water well.

DOW6090 Kentucky Monitoring Well Variance Request - Use Form 6090 to request a variance in the construction of a monitoring well.

eForm FAQs

Q: How can you report outer casing?

A: The first row in the casing section will load directly to the casing section of our database. Any additional rows that you add to report additional casing or outer casing will load into a comments field. The reviewer will need to move the information from the comments field to the outer casing section of the database on a case-by-case basis. To report outer casing – add a row in the casing section, but you may also want to note in the comments field of the eForm that you reported outer casing.

Q: What file types can be added as attachments?

A: The only allowed file type is .pdf.

If you have any other file type, including CAD files (.dwg, .dxf, .dgn), you will need to print or convert it to .pdf before uploading as an attachment.

Q: How can I determine the location for a well if I don’t have a GPS?

A: There are several Web sites that allow you to search for a location to determine the associated latitude and longitude. Several sites are listed below:

Kentucky Well Information Map Viewer - Use the search features at the top-left corner of the page then click the location to get quad, county, region and elevation in addition to latitude and longitude
Kentucky Geological Survey (KGS) Water Well Locator - Select "zoom to a location" in the lower-right corner of the page
The Commonwealth Map - Use the search features at the top-left corner of the page
Google Earth - Requires download

Well Driller Certification Well Record Information Map Agency Interest Search KY GW Data Repository Well and Spring Location Map KY GW Data Repository Technical Assistance KY Flood Hazard Portal Water Well Care Info Sheets

Program Coordinator

(502) 782-4206

Water Well and Monitoring Well Driller: Certification, Exams, Training, Insurance, Surety Bonds and technical assistance with well construction standards and practices, record submittals, and groundwater issues.

Well Records Submission and Forms