Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

Document Name	Type	File Date	Note
124672_071522_01.pdf	Facility Response (public)	12/18/2025	well plugging document

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
7/15/2022	Documents from the Carroll County Sanitarian documenting closure is in the 'attached documents'.	ALISON MANZ
7/15/2022	I spoke with Tyler on the phone. He stated the well was closed about 2 weeks ago. He will send the county closure paperwork to me after he receives it from the county.	ALISON MANZ

Assistance Details:

Field Office Compliance - Assistance