Historical hydraulic systems represent a significant part of landscapes and global heritage. However, from the second half of the 20th century onwards, substantial socio-economic as well as technological changes occurring worldwide have put them at risk of abandonment and, eventually, of disappearing. Recent studies and international conventions, including the ICOMOS-IFLA, framed historical hydraulic systems and water management techniques in a new dimension, not only as an element of the past to be preserved but an active element to achieve sustainable economic development and mitigate climate change. Those qanats or karez represented a major historical hydraulic sustainable solution for irrigation, providing a water supply, which during the last few decades, has been slowly replaced with modern, although polluting and unsustainable, technologies. Building on the recent ICOMOS-IFLA Principles Concerning Rural Landscape as Heritage and the recommendation provided by initial research, this paper aims to show how qanats can become: (1) an important local and regional cultural and natural heritage; (2) a valuable economic resource; (3) an environmentally friendly system that could at least partially replace the existing polluting solution (i.e., dams and other modern infrastructures). To achieve these goals, we propose a restoration or reuse approach for the qanat based on the necessity of multiple stakeholders at local and national levels using sustainable materials and respecting the different values as a heritage place. Our case study is the No-Ras qanat in North-western Iran. In the conclusion, we also illustrate the relevance of the aims and methods of this paper in the light of the United Nations Sustainable Development Goals.