Existing Well Registration Request

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A. WELL OWNER INFORMATION

(*) denotes a required field

B. WELL LOCATION

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)

Well use

D. WELL DETAIL (if known)

MM slash DD slash YYYY

E. WELL RECORDS

If you have hardcopies of well records for your well (i.e. drillers log, State Well Report), please email them to staff3@haysgroundwater.com or mail to P.O. Box 1648, Dripping Springs, TX. 78620

F. PREPARED BY (if different than owner)

G. COMMENTS

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.

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