Humboldt County, CA · Humboldt County
Ag (Pole) Structures in Flood Plain
This form records project details and an owner’s signature for agricultural pole structures located in Humboldt County flood plains.
At a glance
- Issued by
- City of Humboldt County · Humboldt County, Humboldt County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- humboldtgov.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form for an agricultural pole structure located in a flood plain. It describes conditions under which the one-foot-above-base-flood-elevation floor requirement may be waived without a variance, while noting that a flood elevation certificate and wet flood proofing certification are required. The form asks for the date, assessor parcel number, project description, project location, and owner’s signature.
Who needs it
Owners proposing agricultural pole structures in a flood plain can use this form to provide project details and sign the form.
How to submit it
Submit it to the Humboldt County Planning and Building Department, Building Division, at 3015 H Street, Eureka, CA 95501. The form lists (707) 445-7245 as its phone number.
About notarization
This document is signed without a notary; the owner signs and dates it, and the required wet flood proofing certification is by a registered professional engineer or architect.
How to submit this form
- 1
Download the Form
Download the Ag (Pole) Structures in Flood Plain form.
- 2
Complete Project Details
Enter the date, assessor parcel number, project description, and project location.
- 3
Arrange Required Certification
The form requires wet flood proofing certification by a registered professional engineer or architect.
- 4
Sign and Submit
Sign and date the form, then submit it to the Building Division at 3015 H Street, Eureka, CA 95501.
Frequently asked questions
- Do I need a notary for the Ag (Pole) Structures in Flood Plain form?
- No. The owner signs and dates this form without a notary. It separately requires wet flood proofing certification by a registered professional engineer or architect.
- What information does the form request?
- It requests the date, assessor parcel number, project description, project location, and owner’s signature.
- What certification does the form require?
- It states that wet flood proofing certification is required. A registered professional engineer or architect must certify that the structure as built is designed to prevent flotation, collapse, or lateral movement from specified flood loads.
- How do I submit the Ag (Pole) Structures in Flood Plain form?
- Submit it to the Humboldt County Planning and Building Department, Building Division, at 3015 H Street, Eureka, CA 95501. The form lists (707) 445-7245 as its phone number.