Siskiyou County, CA · Siskiyou County
Permit to Construct or Repair Individual Sewage Disposal System
Property owners or authorized agents use this permit application to request approval to construct or repair an individual sewage disposal system in Siskiyou County.
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 a permit for a new conventional or non-conventional system, a repair or replacement, or a tank or drainfield replacement. It asks for owner and property details, system design information, setback and site details, and a plot map and as-built drawing. The form states that the permit expires one year after issuance.
Who needs it
Property owners or their authorized agents seeking a permit to construct or repair an individual sewage disposal system need to complete this application.
How to submit it
Submit it to Siskiyou County Public Health & Community Development at 806 South Main Street, Yreka, CA 96097; the form lists phone and fax numbers.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachments or related steps.
How to submit this form
- 1
Download the Permit Application
Download the individual sewage disposal system permit application PDF.
- 2
Complete the Application
Provide the owner, property, system design, and setback information requested on the form.
- 3
Prepare the Site Drawings
Complete the plot map and as-built drawing areas, including a north direction arrow.
- 4
Submit to the County
Submit the completed application to Siskiyou County Public Health & Community Development at the address shown on the form.
Frequently asked questions
- What does this permit application cover?
- It covers construction or repair of an individual sewage disposal system, including new systems, repairs or replacements, and tank or drainfield replacements.
- What information does the application ask for?
- It asks for owner and property information, system design and setback details, and plot map and as-built drawings.
- Do I need a notary for this sewage disposal system permit application?
- No. The document has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit this application?
- Submit it to Siskiyou County Public Health & Community Development at 806 South Main Street, Yreka, CA 96097.