Siskiyou County, CA · Siskiyou County

No notary required

Individual Sewage Disposal Systems Site Review and Permit Procedure

Property owners or authorized agents use this application to request a Siskiyou County on-site evaluation for a proposed individual sewage disposal system.

At a glance

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

What this form is

This application requests an on-site evaluation for a proposed individual sewage disposal system, which the county requires before installation, repair, or alteration of a system. It asks for owner and property details, parcel information, project type, and signatures, and must be submitted with a completed plot plan. The packet also explains the review and permit process and includes a land agent authorization form for representatives.

Who needs it

Property owners seeking an on-site sewage disposal evaluation, or their authorized agents, need to complete and submit this application.

How to submit it

Submit the completed application and plot plan with the appropriate fee to the Community Development Department, 806 South Main Street, Yreka, CA 96097-3321.

About notarization

The application is signed and dated without a notary; a separate arsenic-risk acknowledgement must be notarized when the stated water conditions apply.

How to submit this form

  1. 1

    Download the Application

    Download the on-site sewage disposal evaluation application and review the procedure.

  2. 2

    Complete the Application

    Provide the property owner, parcel, location, and project details, then sign and date the application.

  3. 3

    Gather Attachments

    Attach a completed plot plan; representatives must also complete the Land Agent Authorization form.

  4. 4

    Submit to the County

    Submit the application and plot plan with the appropriate fee to the Community Development Department in Yreka.

Frequently asked questions

Do I need a notary for the sewage disposal site review application?
No. The application is signed and dated without a notary. A separate arsenic-risk acknowledgement must be notarized when the stated water conditions apply.
How do I submit the on-site evaluation application?
Submit the completed application and plot plan with the appropriate fee to the Community Development Department at 806 South Main Street, Yreka.
What should I include with the application?
Attach a completed plot plan on the provided form or its equivalent. If you are applying as the property owner's representative, complete the enclosed Land Agent Authorization form.
When is a sewage disposal permit required?
The document says a county permit is required before installing, repairing, or altering an individual sewage disposal system.

Need something notarized?

This Individual Sewage Disposal Systems Site Review and Permit Procedure doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.