A Division of the Georgia Department of Natural Resources

Water Withdrawal Permitting Forms

Agricultural

Contact: Cliff Lewis, 229.391.2410

Municipal and Industrial Surface Water

Contact: Lebone Moeti, 404.232.7834

Municipal and Industrial Groundwater

Contact: Bill Frechette, 404.232.7833

All Groundwater Permit Applicants Must Complete:

Part A Application - General System Information

Part B Application - Well Data

Monthly Groundwater Use Reporting Form (MS Excel) [Revised Feb 2016]

Municipal Groundwater Permit Applicants Must Also Complete:

Industrial Groundwater Permit Applicants Must Also Complete:

Golf Course Groundwater Permit Applicants Must Also Complete:

Updated 02/18/2016