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WATER WELL REPORT

ECY 050-1-20 (Rev 08/19) If you need this document in an alternate format, please call the WATER Resources Program at 360-407-6872. Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-6341. WATER well REPORT Type of Work: Construction Decommission Original installation NOI No. Proposed Use: Domestic Industrial Municipal Dewatering Irrigation Test well Other Construction Type: Method: New well Alteration Driven Jetted Cable Tool Deepening Other Dug Air- Mud-Rotary Dimensions: Diameter of boring in.

ECY 050-1-20 (Rev 08/19) If you need this docu ment in an alternate format, please call the Water Resources Program at 360-407-6872. Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-6341. WATER WELL REPORT. Type of Work: ☐ Construction ☐

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