Yountville, CA · Napa County
Trucked Recycled Water Use Permit
This permit is for a recycled water user or distributor to request authorization for trucked recycled water use through the Town of Yountville.
What this form is
The permit identifies the user or distributor, emergency contacts, intended uses, application method, and where the water will be applied. It also records the authorized water volume and permit dates. The document states that an annual application fee must be paid within 30 days of the effective date to receive a valid permit number, and that the permit must be kept available for inspection.
Who needs it
A user or distributor seeking authorization to use trucked recycled water from the Town of Yountville should complete this permit.
How to submit it
The document says the annual permit application fee must be paid to the Town within 30 days of the effective date. It lists the Town of Yountville as the producer but gives no submission address or method.
About notarization
This document has no notary block; the user or distributor signs and dates it and certifies under penalty of perjury that the information is true and accurate.
How to submit this form
- 1
Download The Permit
Download the Trucked Recycled Water Use Permit PDF.
- 2
Complete The Permit
Provide user or distributor details, emergency contacts, intended uses, application method, location, and requested water information.
- 3
Review And Sign
Certify that the information is true and accurate, then sign and date the permit.
- 4
Pay The Application Fee
The document says the annual application fee must be paid to the Town within 30 days of the effective date.
Frequently asked questions
- Who uses the Trucked Recycled Water Use Permit?
- A recycled water user or distributor seeking authorization for trucked recycled water use completes the permit with contact, use, application, and water-volume information.
- Do I need a notary for the Trucked Recycled Water Use Permit?
- No. The permit has no notary block. The user or distributor signs and dates it and certifies under penalty of perjury that the information is true and accurate.
- How do I submit the Trucked Recycled Water Use Permit?
- The document says the annual application fee must be paid to the Town within 30 days of the effective date, but it does not specify a submission method.