What is the Building Permit Application for Well used for?

Well drillers or authorized agents use it to apply for a county permit for well construction, repair or modification, or destruction.

Do I need a notary for the Building Permit Application for Well?

No. The application is signed without a notary, though its declarations are made under penalty of perjury; the signer signs and dates the form.

How do I submit the Building Permit Application for Well?

Submit it to the Sierra County Department of Planning and Building by mail at P.O. Box 530, Downieville, California 95936, or email building@sierracounty.ca.gov.

Sierra County, CA · Sierra County

No notary required

Building Permit Application for Well

Well drillers or their authorized agents use this application to request a Sierra County building permit for well construction, repair, modification, or destruction.

At a glance

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

What this form is

This application is for a proposed well project in Sierra County, including a new well, repair or modification, or destruction. It asks for project and owner details, work dates and scope, well specifications, a scaled plot plan, and well driller information. The application also includes workers’ compensation and applicant declarations; the county notes that work must not begin until a valid permit card is issued.

Who needs it

A well driller or authorized agent applying for a Sierra County permit for well construction, repair, modification, or destruction needs this application.

How to submit it

Submit it to the Sierra County Department of Planning and Building, P.O. Box 530, Downieville, California 95936, or email [email protected].

About notarization

This application is signed without a notary; its declarations are made under penalty of perjury, and the signer signs and dates the form.

How to submit this form

1
Download the Application
Download the Building Permit Application for Well PDF.
2
Complete the Application
Fill in the project, owner, work scope, well specifications, driller, and workers’ compensation sections.
3
Prepare the Plot Plan
Provide a scaled plot plan showing the features listed on the form; a public well requires a 200-foot radius.
4
Submit to the County
Send the completed application to the Sierra County Department of Planning and Building by mail or email.

Frequently asked questions

What is the Building Permit Application for Well used for?: Well drillers or authorized agents use it to apply for a county permit for well construction, repair or modification, or destruction.
What information does the application ask for?: It asks for project and property owner details, work dates and scope, well specifications, a scaled plot plan, and well driller and workers’ compensation information.
Do I need a notary for the Building Permit Application for Well?: No. The application is signed without a notary, though its declarations are made under penalty of perjury; the signer signs and dates the form.
How do I submit the Building Permit Application for Well?: Submit it to the Sierra County Department of Planning and Building by mail at P.O. Box 530, Downieville, California 95936, or email [email protected].

Need something notarized?

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