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| Title | Water Well Report | |
| Month-Year Published | June 1974 | |
| Revised on | February 2010 | |
| Online Availability |
591 kilobytes, requires version 4.0 or later of Adobe Acrobat Reader Software get Acrobat Reader
Note: This version can be filled out electronically and requires Adobe Acrobat Reader 6.0.
(ecy050120.doc, 198 kilobytes)
This version can be filled out electronically.
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| Short Description |
This form requires Adobe Reader 6.0. 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. | |
| Publication Number | ECY 050-1-20 | |
| Author(s) | Marian Bruner | |
| Contact | Well Licensing Coordinator, (360) 407-6650 | |
| Print Availability | ||
| Number of pages | 3 | |
| Keywords | Official Ecology Form, report, Water Resource form, well forms | |
| Related Web Content | Washington State Well Log Viewer | |
| Related Publications | Title | Relationship |
| Resource Protection Well Report | similar topic | |
| Well Construction Operator's License Application | related form | |
| Chapter 173-162 WAC, Regulation And Licensing Of Well Contractors And Operators | related regulation | |
This page last updated September 9, 2011
Copyright © Washington State Department of Ecology. See http://www.ecy.wa.gov/copyright.html.
