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Title

Water Well Report

 
Form number Date Published Date Revised
ECY 050-1-20 June 2012 October 2018
VIEW NOW Water Well Report (Number of pages: 2) (Publication Size: 263KB)


Microsoft Word format (Publication Size: 91KB)


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Description A water well report form is completed after a well has been constructed, modified or decommissioned. The form provides important information regarding how a well in constructed. For example, well depth, size of casing, and whether a screen is installed in the well. It is an official document that requires certification from the well driller.
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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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 WRprojects@ecy.wa.gov
Keywords well forms, Water Resource form, report, Official Ecology Form
WEB PAGE State Well Report Viewer