Bastrop County, TX · Bastrop County
LPHCP Declination of Coverage (Spanish)
This Spanish-language form lets a Bastrop County property owner decline incidental take coverage through the Lost Pines Habitat Conservation Plan for a construction project.
At a glance
- Issued by
- City of Bastrop County · Bastrop County, Bastrop County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- bastropcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form records a property owner's decision to decline incidental take coverage through the Lost Pines Habitat Conservation Plan (LPHCP). It explains potential consequences, including possible penalties, reporting the owner's name and property addresses to the U.S. Fish and Wildlife Service, and losing eligibility for LPHCP wildlife management tax appraisal privileges. The property owner prints their name, signs, provides a property identification number, and dates the form.
Who needs it
A Bastrop County property owner who chooses to decline LPHCP incidental take coverage for a construction project completes and signs this form.
How to submit it
The form lists the LPHCP Administrator at 1041 Lovers Ln, Bastrop, Texas 78602, and provides phone numbers 512-332-7284 and 512-332-7285.
About notarization
This document is signed without a notary; the property owner just prints their name, signs, and dates it.
How to submit this form
- 1
Download the Form
Download the Spanish-language LPHCP Declination of Coverage PDF.
- 2
Review the Consequences
Read the form's explanations of possible penalties, reporting, and loss of LPHCP wildlife management tax appraisal eligibility.
- 3
Complete and Sign
The property owner prints their name, signs, provides the property identification number, and dates the form.
- 4
Contact the LPHCP Administrator
The form lists the LPHCP Administrator's address and phone numbers for contact.
Frequently asked questions
- Do I need a notary for the LPHCP Declination of Coverage?
- No. The form has spaces for the property owner's printed name, signature, property identification number, and date; it does not require a notary.
- How do I submit the LPHCP Declination of Coverage?
- The form lists the LPHCP Administrator at 1041 Lovers Ln, Bastrop, Texas 78602. It also provides phone numbers 512-332-7284 and 512-332-7285.
- Who can sign this form?
- The form states that only the property owner may sign it.
- What does declining coverage mean?
- The form warns of possible penalties, reporting the owner's name and addresses to the U.S. Fish and Wildlife Service, and loss of LPHCP wildlife management tax appraisal eligibility.