Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Application for Certification of Recording

  1. Assigned by Lost Pines Groundwater Conservation District (LPGCD)

  2. Date Received in LPGCD

  3. Is this well within a subdivision?

      1. Section I - Applicant

      2. First, Middle Initial, Last

      3. Name and address of property owner if different from person shown above

      4. First, Middle Initial, Last

      5. Section II - Exemption

        LPGCD can help with information in this section, if needed.

      6. Request for exemption under Lost Pines Groundwater Conservation District Rule 8.6?

          1. Type of Exemption Claimed

          2. Section III - Well Information

          3. Directions to Well Site

          4. Well is Located in:

              1. Please attach copies of the following schedules or logs, if available.

              2. Type of Well

              3. LPGCD can help with information in this area, if needed.

              4. Section IV - Affirmation

                I certify that all statements and information in this application are true and correct.

              5. Leave This Blank:

              6. This field is not part of the form submission.