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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.

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Keywords Official Ecology Form, well forms, Water Resource form, report
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