Complete both forms for your In-line analytical wastewater disposal well and either mail or email to:
Pennsylvania
U.S. Environmental Protection Agency
1650 Arch Street
Mailcode: 3WD22
Philadelphia, PA 19103
dearden.jeremy@epa.gov
Virginia
U.S. EPA Wheeling Office
1060 Chapline Street
Wheeling, WV 26003
nelson.mark@epa.gov
You may need a PDF reader to view some of the files on this page. See EPA’s About PDF page to learn more.
- 7520-16 (Inventory of injection wells) (PDF)(3 pp, 285 K)
- Class V inventory form wastewater disposal (PDF)(1 pg, 81 K)