Lassen County, CA · Lassen County

No notary required

Application for Sewage Disposal Permit

Property owners, authorized agents, or contractors use this application to request county review of a proposed sewage disposal system.

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
Machine-readable
JSON record · about the forms index

What this form is

This application requests review of a proposed sewage disposal system; it is not a permit to install a septic system. The form asks for property, owner, contractor, premise, and water-supply information, and requires a site plan showing the legal parcel and specified site features. County divisions use the application for their review, and the form includes spaces for approval, conditions, and inspection information.

Who needs it

A property owner, authorized agent, or contractor preparing a proposed sewage disposal system application for Lassen County should complete this form.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This application is signed and dated without a notary; the signer certifies the application, and no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download the Application

    Download the sewage disposal permit application PDF.

  2. 2

    Complete the Application

    Provide the property, owner or agent, contractor, premise, and water-supply details requested.

  3. 3

    Prepare the Site Plan

    Attach a site plan showing the entire legal parcel and the features listed in the application.

  4. 4

    Submit to the County

    Submit the application and site plan to the county department named on the form; check the county website for current contact details.

Frequently asked questions

Do I need a notary for the sewage disposal permit application?
No. The application has a signature and date line but no notary block. The signer certifies the application; no notarized or sworn attachment is specified.
Who can complete this application?
The form says it is to be completed by the owner or authorized agent and also includes a contractor option for the signature.
What must accompany the application?
The application must be accompanied by a site plan showing the entire legal parcel and the features listed on the form, such as proposed and existing systems, wells, property lines, and access roads.
How do I submit the sewage disposal permit application?
The form names the Lassen County Planning and Building Services Department, Environmental Health Division. Check the county website for current contact details.

Need something notarized?

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