BASTROP COUNTY
804
PECAN
ST. BASTROP,
TX 78602
(512)-581-4003
Application for Use of Bastrop County Right of Way
For Special Events
To Bastrop County
c/o County Commissioner ________________________________________________
This form must be received at least 7 days prior to proposed use on the right of way.
Applicant __________________________________________________________ proposes to have a
_______________________________________ (type of event) on the Right of Way of County Road
___________________________________________________________
From (Limits) _______________________________________________
To (Limits) _________________________________________________
On(Date)____________________________________, 20___
The sponsor of the event, if applicable, is _________________________________________________
I will avoid or minimize environmental impacts, and will, at my own expense, restore or repair damage
resulting from this event.
I will be responsible for any damages or accidents that may occur during the term of this permit and I
agree to hold the County of Bastrop harmless in the event of such damages or accident.
I will abide by all applicable federal, state and local laws, regulations, ordinances, and any conditions or
restrictions, including but not limited to all environmental laws, required by the County of Bastrop to
protect natural and cultural resources of the right of way.
If this event causes hazardous traffic conditions to develop, I will cease the activity until corrective
measures have been implemented by law enforcement.
It is expressly understood that the County of Bastrop reserves the right to enforce the terms and
conditions that it may deem necessary for the protection of the transportation facility and safety of the
traveling public.
If equine are involved in the event, they shall have the proper Coggins test reports as required by the
Texas Animal Health Commission.
By signing below, I agree to the conditions/provisions included in this application. I am authorized to
sign on the behalf of the organization holding the event.
____________________________________ _______________________________________
Applicant Mailing Address
________________________________ ___________________________________
By
________________________________ __________________ ________ _______
Title City, State Zip
________________________________ ___________________________________
Signature Area Code Telephone Number
Return form by mail or in person to 804 Pecan Street, Bastrop, TX 78602 or by email to
kellie.rice@co.bastrop.tx.us
