A. WELL OWNER INFORMATION
(*) denotes a required field
B. WELL LOCATION
Use the url link below to find your well's latitude & longitude. Click on the link, enter your physical address, click the 'Show Location' button. Zoom in on the map using the '+', select the satellite imagery and move the pin to the location of your well. Copy the coordinates and enter them below. Google Maps
C. WELL USE (Check One)
D. WELL DETAIL (if known)
E. WELL RECORDS
If you have hardcopies of well records for your well (i.e. drillers log, State Well Report), please email them to firstname.lastname@example.org
or mail to P.O. Box 1648, Dripping Springs, TX. 78620
F. PREPARED BY (if different than owner)
By pressing the "Submit Well Registration" button below, you certify the following:
I hereby register my water well with Hays Trinity Groundwater Conservation District for the purposes indicated
on this form.
I certify that I am the property owner/grantor or lessee/grantee or an Authorized Agent, and that
the information provided on this form is true and correct to best of my knowledge.
I will comply with HTGCD District Rules.