Resource Protection Well Report
Acrobat PDF format (Number of pages: 2) (Publication Size: 55KB)
Note: Please use the Microsoft Version of the Form.
Microsoft Word format (Publication Size: 24KB)
Note: May be filled out electronically, signed and sent to Ecology.
|Description||This form must be filled out within 30 days after construction or decommissioning of a resource protection, geotech soil boring or environmental investigation well. This form contains the construction or decommissioning details of the well.
The report is filled out by the person who constructed the well, typically a Washington State licensed well operator.
|REQUEST A COPY||
The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.
Persons with hearing loss can call 711 for Washington Relay Service
Persons with a speech disability can call 877-833-6341
|Contact||Yvonne White at 360-407-7515 or firstname.lastname@example.org|
|Keywords||Water Resource form, report, Official Ecology Form, well form|
|WEB PAGE||Washington State Well Log Viewer|
Water Well Report
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