Humboldt County, CA · Humboldt County

No notary required

MWELO Prescriptive Compliance

Humboldt County property owners or authorized representatives use this checklist to document prescriptive water-efficient landscape compliance for a project with less than 2,500 square feet of landscape area.

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

This document collects project and landscape details and provides a checklist for the prescriptive compliance option under the Model Water Efficient Landscape Ordinance. The packet says to complete the checklist, keep it on-site during construction after permit issuance, and complete the Certificate of Completion when work is done. It also includes a landscape documentation application section and asks for project, water supply, landscape area, compliance method, and signature information.

Who needs it

Property owners or authorized representatives with a project using the prescriptive path for less than 2,500 square feet of total landscape area need this checklist.

How to submit it

The form identifies Humboldt County Planning and Building Department, Building Division, at 3015 H Street, Eureka, CA 95501, and lists [email protected].

About notarization

This document is signed without a notary; the property owner or authorized representative signs and dates the form, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download the Checklist

    Download the MWELO Prescriptive Compliance document.

  2. 2

    Complete the Checklist

    Fill in project information and use the Applicant checkboxes to certify compliance; leave Reviewer checkboxes blank.

  3. 3

    Gather Required Attachments

    Attach a landscape plan showing the items listed in the checklist, and complete the Certificate of Completion when work is done.

  4. 4

    Submit to the County

    The form names Humboldt County Planning and Building Department, Building Division, and provides its street address and email.

Frequently asked questions

Do I need a notary for the MWELO Prescriptive Compliance checklist?
No. The form is signed and dated by the property owner or authorized representative; it does not identify a notarized or sworn attachment.
Who uses the MWELO Prescriptive Compliance checklist?
Property owners or authorized representatives use it for projects following the prescriptive path with less than 2,500 square feet of total landscape area.
How do I submit the MWELO Prescriptive Compliance checklist?
The form names Humboldt County Planning and Building Department, Building Division, at 3015 H Street, Eureka, CA 95501, and provides [email protected].
When should I complete the Certificate of Completion?
The instructions say to complete the Certificate of Completion once the work is complete.

Need something notarized?

This MWELO Prescriptive Compliance doesn’t need a notary, but if you have another Humboldt County form that does, a commissioned online notary can help.