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Well Records Submission and Forms

Water Construction, Modification and Abandonment record completion can be done via the Kentucky One Stop portal using eForms.

Well records can be submitted electronically via email. 

graphic image of link to eForm page to submit well records



graphic image to click for eForm Instructions



Completed Water Well Construction, Modification and Abandonment records can also be mailed to:
 
Division of Water
300 Sower Boulevard, 3rd Floor
Frankfort, KY 40601
Program Coordinator
(502) 782-7054
 
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.

​Documents and Forms

Uniform Kentucky Well Construction Record- All Kentucky Certified Well Drillers should use the eForm or print and complete the construction record to report installation of monitoring or water wells within sixty (60) days of completion [37 KB]

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

Uniform Kentucky Well Construction Record eForm Instructions - All Kentucky Certified Well Drillers should use the eForm or print and complete the construction record to report installation of monitoring or water wells within sixty (60) days of completion. [1588 KB]

Water Well Bacterial Report (DEP 2012)  - All Kentucky Certified Water Well Drillers should use this form to report results required for KRS 223.400-223.460 and 223.991 (Kentucky Water Well Construction Practices Standards Act). [389 KB]

Water Well Bacterial Report (DEP 2012) (Fillable) - All Kentucky Certified Water Well Drillers should use this form to report results required for KRS 223.400-223.460 and 223.991 (Kentucky Water Well Construction Practices Standards Act). [138 KB]

Combined Kentucky Well Construction / Plug Record - All Kentucky Certified Well Drillers should use this form only to report installation/subsequent plugging (within 72 hrs) of temporary monitoring or water wells. [39 KB]

Combined Kentucky Well Construction / Plug Record (Fillable) - All Kentucky Certified Well Drillers should use this form only to report installation/subsequent plugging (within 72 hrs) of temporary monitoring or water wells. [310 KB]

Uniform Kentucky Well Maintenance and Plugging Record - Plugging Records: All Kentucky Certified Well Drillers should use the eForm print and complete the maintenance and plugging record to report plugging, modification or maintenance of monitoring or water wells within sixty (60) days of completion. [27 KB]

Uniform Kentucky Well Maintenance and Plugging Record (Fillable) - All Kentucky Certified Well Drillers should use the eForm print and complete the maintenance and plugging record to report plugging, modification or maintenance of monitoring or water wells within sixty (60) days of completion. [419 KB]

 

Water Well Owners Guide - A Kentucky Certified Well Driller shall provide this guide to the homeowner upon completion of a well. [2944 KB]

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. [202 KB]

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. [215 KB]

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. [178 KB]

Global Positioning System (GPS) Location Form (Decimal Degrees) - This is an optional form that may be used by Kentucky Certified Well Drillers to report a well location in Decimal Degrees using a GPS unit. [74 KB]

Global Positioning System (GPS) Location Form (Degrees/Minutes/Seconds) - This is an optional form that may be used by Kentucky Certified Well Drillers to report a well location in Degrees/Minutes/Seconds using a GPS unit. [12 KB]

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. [99 KB]

Well Abandonment Hand Dug Well - Instructions for abandoning Hand Dug Water Wells. [254 KB]

Monitoring Well Variance Request Form - This form should be used by a Kentucky Certified Well Driller wishing to request a monitoring well variance pursuant to 401 KAR 6:350 [165 KB]

Water Well Variance Request Form - This form should be used by a Kentucky Certified Well Driller wishing to request a water well variance, pursuant to 401 KAR 6:310. [124 KB]

 

​Frequently Asked Questions

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.

A: According to the Esri Web site, ArcMap can access the following CAD formats directly:
AutoCAD drawing files (.dwg) up to AutoCAD 2008
AutoCAD .dxf files up to AutoCAD 2008
Microstation design files (.dgn) up to version 8
If you upload a CAD drawing, be sure to specify the map projection/coordinate system used. More information on CAD formats supported by ArcMap may be found here.


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:
Drillers Map - Well record information map. 
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