Get Co Gws-12-a 2016-2026

The CO GWS-12-A form, known as the Statement of Historical Use, is essential for well owners in Colorado, allowing them to register existing wells that meet specific criteria. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the CO GWS-12-A form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in your name as the well owner in the designated area. Ensure to state your name clearly.
3. Provide the well's location details, including the legal description (quarter section, township, range, and principal meridian). Be precise with this information.
4. Indicate whether the historical use is on the same parcel as the well location. If not, specify the other location.
5. Complete the parcel size and indicate if this will be the only well on the parcel, listing any other permit numbers if necessary.
6. Describe the existing well location and its visual condition. If there are any issues, provide necessary explanations.
7. Detail the well construction type and materials. Include answers to all questions regarding the construction condition.
8. Describe the historical use of the well, ensuring that the uses mentioned were initiated prior to May 8, 1972.
9. Confirm if the claimed historical uses have been in continuous operation since May 8, 1972, and provide the relevant dates if not.
10. Finally, sign the form. If representing a company, include your title, and indicate the date completed.

Ready to register your existing well? Complete the CO GWS-12-A form online today!