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Form Summary

Title

Water Well Report

 
Form number Date Published Date Revised
ECY 050-1-20June 1974February 2010
VIEW NOW: Acrobat PDF format (Number of pages: 3) (Publication Size: 185KB)


Microsoft Word format (Publication Size: 66KB)
Note: This form can be filled out electronically.

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Author(s) Marian Bruner
Description Please use the Microsoft Word version of the form. A water well report must be filled in within 30 days after a well is constructed, re-constructed or decommissioned. Well reports are filled out by the person who constructed the well. This is 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.

Accessibility Options
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 yvonne.white@ecy.wa.gov
Keywords well forms, Water Resource form, report, Official Ecology Form
WEB PAGE Washington State Well Log Viewer
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