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Submit a Start Card

This form is used to gather the Start Card information required for filing a Notice of Intent to advance a soil boring or construct a well. We'll use the information you provide as the basis for filing this document with DOE prior to the start of your project. All projects require a Start Card and must be filed a minimum of 3 days (72 hours) in advance of starting work. If you need additional assistance, please call us at 253-848-6500.

Fields marked with an orange Asterisk * are required. Fields marked with a blue Asterisk * are not required by Holocene to begin the Start Card process; however, please complete all fields as completely as you can. In order to expedite your Start Card request, if you do not have the legal description (i.e. SE¼ of the NE¼ Section 31 T125N R87W), we will determine it for you. If you prefer to send your Start Card information in the form of an attachment, please fill out only the required orange Asterisk * form fields. If you have questions or require additional Start Card form assistance, please call us.

Holocene Client Contact:

Project Manager: *
Company: *
Phone Including Area Code: *
Email: *

Deeded Property Owner:

* Either an organization name or the first and last name of the property owner is required.

Organization Name:
First Name:
Last Name:
Mailing Address: *
City: *
State: *
Zip Code: *
Phone Including Area Code: *

Project Information:

Please allow at least 3 days (72 hours) advanced notice.

Job Name: *
Start Date: *
Today's Date:
Site Contact: *
Phone Number: *
Tuesday, October 17, 2017

Project Location:

* Site address, City, State, Zip and County is required.

Site Address: *
City: *
State: *
Zip Code: *
County: *
Tax Parcel/Lot Number: *
Utility Locate Ticket Number: *
Section Location: Quarter-Quarter *
NW
NE
SW
SE
NW
NE
SW
SE
NW
NE
SW
SE
NW
NE
SW
SE

Project Details:

* Number of borings, wells, and/or decommissioned wells is required.

Number of Soil Borings: *
Number of Wells: *
Number of Decommissioned Wells: *
Additional Scope of Work Comments: (200 character limit): *
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