Do I need a notary for the water well permit application?

No. The application has signature and date lines but no notary block. It requires an accurate plot plan and Workers’ Compensation Insurance affirmation, with no notarized attachment specified.

Who uses this water well permit application?

Property owners and licensed contractors use it to request a permit to construct, modify, deepen, replace, or destroy a water well.

What must accompany the application?

The form requires an accurate plot plan on 8½-by-11-inch paper with the APN written on it, and a Workers’ Compensation Insurance affirmation.

Plumas County, CA · Plumas County

No notary required

Application for Permit to Construct, Modify, or Destroy Water Well

Property owners and licensed contractors use this application to request a permit to construct, modify, or destroy a water well in Plumas County.

At a glance

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

What this form is

This application requests a permit for water well construction, modification, deepening, replacement, or destruction. It asks for property and contractor details, the water supply type, proposed work, and well specifications. Include an accurate plot plan and the required Workers’ Compensation Insurance affirmation; the form states that well permits will not be issued without a licensed contractor.

Who needs it

Property owners seeking a water well permit and the licensed contractor involved in the proposed work need to complete and sign this application.

How to submit it

Include the accurate plot plan and Workers’ Compensation Insurance affirmation with the completed application and payment. Submit them to Planning and Building Services, 555 Main St., Quincy, CA 95971.

About notarization

This application is signed and dated without a notary; the required plot plan and Workers’ Compensation Insurance affirmation are included, with no notarized attachment specified.

How to submit this form

1
Download the Application
Download the water well permit application PDF.
2
Complete the Application
Enter the property, owner, contractor, water supply, and proposed work details; obtain the required signatures and dates.
3
Prepare the Required Items
Include an accurate plot plan and the Workers’ Compensation Insurance affirmation.
4
Submit to the County
Send the completed application, required items, and payment to Planning and Building Services, 555 Main St., Quincy, CA 95971.

Frequently asked questions

Do I need a notary for the water well permit application?: No. The application has signature and date lines but no notary block. It requires an accurate plot plan and Workers’ Compensation Insurance affirmation, with no notarized attachment specified.
Who uses this water well permit application?: Property owners and licensed contractors use it to request a permit to construct, modify, deepen, replace, or destroy a water well.
What must accompany the application?: The form requires an accurate plot plan on 8½-by-11-inch paper with the APN written on it, and a Workers’ Compensation Insurance affirmation.
How do I submit the water well permit application?: Submit the completed application and payment, along with the required plot plan and Workers’ Compensation Insurance affirmation, to Planning and Building Services at 555 Main St., Quincy, CA 95971.

Need something notarized?

This Application for Permit to Construct, Modify, or Destroy Water Well doesn’t need a notary, but if you have another Plumas County form that does, a commissioned online notary can help.