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Resource Protection Well Report

Form number Date Published Date Revised
ECY 050-12 November 1987 July 2018
VIEW NOW Resource Protection Well Report (Number of pages: 2) (Publication Size: 126KB)

Microsoft Word format (Publication Size: 350KB)
Note: May be filled out electronically, signed and sent to Ecology.

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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.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact Water Resources Program at 360-407-6872 or
Keywords Water Resource form, report, Official Ecology Form, well form
WEB PAGE Washington State Well Report Viewer