COUNTY OF LAKE
WATER RESOURCES DEPARTMENT
255 N. Forbes Street
Lakeport, California 95453
Telephone: (707)263-2344
Fax: (707)263-1965
water.resources@lakecountyca.gov
Permission to Hunt on Lake County Watershed Protection District
(Highland Springs Recreation Area)
To Whom It May Concern:
Permission is hereby granted for the person named below to hunt on property belonging to the Lake
County Watershed Protection District (Highland Springs Recreation Area) for a period of one year from
the above date.
Please be advised that target shooting is not allowed in the recreation area and the discharge of firearms
and hunting are prohibited in the area outlined on the attached map.
This letter must be in the possession of the person named below to be valid, as required by Section 602
of the California Penal Code.
The person named below agrees to have a valid hunting license and to follow all hunting and shooting
laws of the State of California and the County of Lake and to the hold harmless agreement attached.
Sincerely,
Scott DeLeon,
Public Works Director
Name: ________________________________________ Hunting License Number
______________________
Address: ______________________________________
City___________ State _________ Zip Code _________ Target Species
______________________
Phone Number: _________________________________ ______________________
E-mail: ________________________________________ ______________________
Scott DeLeon
Public Works Director
Date: _______________
HOLD HARMLESS AGREEMENT
I, , have requested permission to use
(PRINT NAME)
Highland Springs Recreation Area, for the purpose of hunting. In consideration of the issued permit and
to the fullest extent permitted by law, I, and my companions agree to indemnify and hold harmless the
County of Lake, the Lake County Watershed Protection District, its officers, agents and employees
against and from any and all liability claims, lawsuits, damages, losses, expenses and costs, brought for,
or on account of, injuries to or death of any person or persons, or damage to or destruction of property,
arising with this permit to hunt on property belonging to Lake County Watershed Protection District.
Signature: ______________________________
Dat
e: _______________
W:Highland Springs\Hunting Permits\Highland Springs Hunting Permit 2018 Updated.doc