PUTNAM COUNTY CONSERVATION DISTRICT
4526 E 1000TH STREET, HENNEPIN, ILLINOIS 61327
815-882-2319 or fax 815-882-2064


PERMIT APPLICATION     PERMIT #_________________

Natural Lands Shelter fee:            $15.00

Lake Senachwine shelter fee:            $15.00

Primitive camping, Natural Lands:        $5.00

Primitive camping, Lake Senachwine:       $5.00

*SEE LINKS BELOW FOR MORE INFORMATION
ON CAMPING AREAS*

All fees are non-refundable, applicant ensures that all refuse will be picked up and picnic tables wiped off.

Payment is expected before reservation is granted.

You can e-mail your reservation at pccdcon@nabbnet.com
by simply copying and pasting the information below into the body of the e-mail.

Applicant information:

Application date:____________________________

Site requested:    ______________________________

Date requested: _____________________________

Arrival:________________        Departure:__________________

Number in group:__________________

Applicant name:_______________________________________________

Address:_____________________________________________________

Phone number:____________________________

Special services requested:



Natural Lands Area

Lake Senachawine

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