Modoc County, CA · Modoc County
Industrial Hemp Cultivation Application Pre-Compliance Checklist and Authorization to Operate
This application coordinates county review of proposed industrial hemp cultivation and is completed by the cultivator, applicant, or authorized agent.
At a glance
- Issued by
- City of Modoc County · Modoc County, Modoc County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofmodoc.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form coordinates review of an industrial hemp cultivation proposal by Planning and Building Services, the Sheriff Department, and the Agricultural Commissioner. Applicants complete the first page and submit it with a plot plan; the form states that authorization is not valid until the identified departments endorse it and must be renewed annually. It requests applicant and property-owner details, site and parcel information, cultivation acreage, and signatures.
Who needs it
A person proposing to cultivate industrial hemp in Modoc County must complete the application and provide a plot plan for county review.
How to submit it
Submit the completed first page with a plot plan to Planning and Building Services, 203 W. 4th St., Alturas, CA 96101. Follow the form’s steps for Sheriff Department review and Agricultural Commissioner processing.
About notarization
This document is signed and dated without a notary; it identifies applicant and property-owner signature lines but no notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the industrial hemp cultivation application PDF.
- 2
Complete the Application
Complete applicable sections on the first page; the form says to type or print clearly in black or blue ink.
- 3
Gather the Plot Plan
Attach a plot plan with the application. The form says to include additional sheets only if necessary.
- 4
Submit to the County
Submit the application and plot plan to Planning and Building Services at 203 W. 4th St., Alturas, CA 96101, then follow the form’s review steps.
Frequently asked questions
- Who completes the industrial hemp cultivation application?
- The cultivator, applicant, or authorized agent completes the applicable portion. The form also provides signature lines for property owners and requires a plot plan.
- How do I submit the industrial hemp cultivation application?
- Submit the completed first page with a plot plan to Planning and Building Services at 203 W. 4th St., Alturas, CA 96101. Then follow the form’s steps for Sheriff Department and Agricultural Commissioner review.
- Do I need a notary for the industrial hemp cultivation application?
- No. The form has applicant and property-owner signature lines and does not identify a notarized or sworn attachment.