Gws 12a historical use 2025

1. Click ‘Get Form’ to open the GWS 12A Historical Use form in the editor.
2. Begin by entering your name as the well owner in the designated field. Ensure that all information is printed clearly.
3. Provide the exact location of your well, including details such as section, township, and range. This information is crucial for accurate registration.
4. Indicate whether the historical use of the well is on the same parcel as its location. If not, specify the new location.
5. Detail the existing condition and construction of your well. Include specifics about its type and any relevant distances to septic tanks or sewer lines.
6. In the historical use section, list all uses initiated prior to May 8, 1972. Be sure to check if these uses have been continuous since that date.
7. Finally, sign and date the form at the bottom. If applicable, include your title if you are signing on behalf of a company.

Start filling out your GWS 12A Historical Use form today for free using our platform!