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Notice of Intent Form to Construct a Ground Source Heat Pump or Grounding Well


A red asterisk () next to a field designates it as required.
International applicants cannot submit online. PleaseContact usfor assistance.

Property Owner Contact Information

In the space provided below, enter either the property owner's:
  1. business/organization name or
  2. first and last names.
OR

Well Location Information

Quarter-Quarter Section
NW
SW
NE
SE
Does your project require drilling or decommissioning wells on mulitple, adjacent tax parcels within the same county? If so, enter the tax parcel numbers, seperated by a comma in the space provided below.

Well / Boring Project Information

A minimum fee of $40 allows for up to 4 wells to be constructed and decommissioned. For each additional well, there is an extra $10 fee per well.
Washington State RCW 18.104.048 requires a minumum of 72 hours (3 days) prior notice before commencing work.

Drilling Company and Driller Information

Please select the drilling company and driller who will be performing the construction and/or decommissioning of the wells/borings in this notice.

Where should we send confirmation to?

Enter the email address where you would like your validation email sent.  

Anything else we should know?