Calistoga, CA · Napa County

No notary required

Trucked Recycled Water Use Permit

Truck operators and water users complete this permit application to use the City of Calistoga’s filling station for recycled water.

What this form is

This application requests a permit to use the City of Calistoga’s filling station for trucked recycled water. It asks for user, site supervisor, and truck owner or operator details, intended uses and application method, and the region where the water will be used. The document also includes permit requirements, a certification, and rates; recycled water is unavailable during Napa River discharge.

Who needs it

Users and truck owners or operators seeking to obtain and distribute recycled water from the City of Calistoga’s filling station need this permit.

How to submit it

The form lists the Public Works Department at 414 Washington Street, Calistoga, and [email protected]. It also lists 707-942-2828 for Public Works contact.

About notarization

This document does not require a notary; the applicant signs and dates a certification under penalty of perjury stating the information is true and accurate.

How to submit this form

  1. 1

    Download The Application

    Download the Trucked Recycled Water Use Permit application.

  2. 2

    Complete The Application

    Provide the requested user, site supervisor, truck owner or operator, intended use, application method, and water-use region information.

  3. 3

    Review Requirements And Rates

    Review the permit requirements and the listed rates for the applicable service.

  4. 4

    Sign And Contact Public Works

    Sign and date the certification, then contact the Public Works Department using the address or email listed on the form.

Frequently asked questions

Do I need a notary for the Trucked Recycled Water Use Permit?
No. The applicant signs and dates a certification under penalty of perjury; the document does not require a notary.
Who should complete this permit application?
The application requests information about the user, site supervisor, and truck owner or operator. It is for those seeking to use the City of Calistoga filling station for recycled water.
How do I submit the Trucked Recycled Water Use Permit?
The form lists the Public Works Department at 414 Washington Street, Calistoga, and [email protected]. Contact Public Works using the details on the form.

Need something notarized?

This Trucked Recycled Water Use Permit doesn’t need a notary — but if you have another Calistoga form that does, a commissioned online notary can help.