Do I need a notary for the Groundwater Exportation Application?

No. Property owners sign and date the application without a notary. An agent may sign if an owner authorization letter is provided.

What information and attachments does the application request?

It requests applicant and parcel details, project description, groundwater amount and proposed use. Attach maps and other information showing the groundwater source and where it will be exported.

What filing fee does the form list?

The form lists a $1,200 fee for agricultural use or domestic service with one connection, and a $2,000 fee for domestic service with two or more connections.

Lassen County, CA · Lassen County

No notary required

Groundwater Exportation Application

This application is for property owners or their authorized representatives seeking county review of a proposed groundwater exportation project.

At a glance

Issued by: City of Lassen County · Lassen County, Lassen County, California
Notarization: Not required: file this form without a notary.
Official source: lassencounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Lassen County uses this application for proposed groundwater exportation under Chapter 17.01 of the County Code. Applicants provide project and parcel details, describe the amount and proposed use of groundwater, and attach maps and other information showing its source and export destination. The form lists filing fees of $1,200 for agricultural use or domestic service with one connection, and $2,000 for domestic service with two or more connections.

Who needs it

Property owners proposing groundwater exportation, or their authorized representatives, need to complete and submit this application to the county.

How to submit it

Submit the completed application to the Department of Planning and Building Services; the form lists phone and fax contacts and the county website for contact information.

About notarization

This application has no notary block; property owners sign and date it, and an agent may sign if an owner authorization letter is provided.

How to submit this form

1
Download the Application
Download the Groundwater Exportation Application for the proposed county project.
2
Complete Every Section
Type or print clearly in black or blue ink and complete all sections, including applicant, parcel, project, groundwater amount, and proposed use.
3
Gather Project Attachments
Attach maps and other information showing the groundwater source and the location where it will be exported.
4
Sign and Submit
Have the property owner or authorized representative sign and date the application, then submit it to the Department of Planning and Building Services.

Frequently asked questions

Do I need a notary for the Groundwater Exportation Application?: No. Property owners sign and date the application without a notary. An agent may sign if an owner authorization letter is provided.
How do I submit the Groundwater Exportation Application?: Submit the completed application to the Department of Planning and Building Services. The form lists phone and fax contacts and the county website for contact information.
What information and attachments does the application request?: It requests applicant and parcel details, project description, groundwater amount and proposed use. Attach maps and other information showing the groundwater source and where it will be exported.
What filing fee does the form list?: The form lists a $1,200 fee for agricultural use or domestic service with one connection, and a $2,000 fee for domestic service with two or more connections.

Need something notarized?

This Groundwater Exportation Application doesn’t need a notary, but if you have another Lassen County form that does, a commissioned online notary can help.