Publications Home

Error processing SSI file

Form Summary


Notice of Intent Addendum

Form number Date Published Date Revised
ECY 070-479February 2013May 2014
VIEW NOW: Acrobat PDF format (Number of pages: 1) (Publication Size: 553KB)

Microsoft Word format (Publication Size: 36KB)

Trouble viewing?
Description This form is required to be submitted when an email address is omitted. Ecology's requirement of your email address when submitting a Notice of Intent to Construct a Water Well (Notice) is to inform you of possible restrictions and conditions when submitting a Notice for Well Construction.
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 Mary Lynum at 360-407-6650 or
Keywords addendum, notice of Intent, Official Ecology Form, Water Resource form
WEB PAGE Wells - Licensing, Construction and Reporting