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

No. The application has a signature and date line but no notary block; the signer just signs and dates it.

How do I submit the Water Well Permit Application?

Send it with payment, directions with a map, and a site map showing setbacks to the Environmental Health Division, PO Box 476, Weaverville, CA 96093.

What should the site map show?

Show the proposed well location and setback distances in US feet, including distances to parcel lines, structures, roads, septic systems, and waterways.

What information does the application request?

It asks for applicant and parcel details, driller contact and license information, the type of well, and whether an agricultural well is within one mile of a navigable waterway.

Trinity County, CA · Trinity County

No notary required

Water Well Permit Application

Trinity County property owners and applicants use this application to request approval for a water well, monitor well, soil boring, or well abandonment.

At a glance

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

What this form is

Use this application to request a permit for a water well, monitor well, soil boring, or well abandonment in Trinity County. It asks for applicant and parcel details, driller information, well type, and proposed location details. Submit it with payment, directions and a map, and a site map showing required setbacks; the form states that drilling cannot begin before permit approval.

Who needs it

Property owners or applicants seeking a permit to drill, monitor, or abandon a well, or conduct a soil boring, should complete this application.

How to submit it

Submit the application and required payment, directions with map, and setback site map to the Environmental Health Division, PO Box 476, Weaverville, CA 96093. The form lists $449 for a well, monitor, or soil boring and $321 for abandonment or destruction.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the application.

How to submit this form

1
Download the Application
Download the Water Well Permit Application PDF.
2
Complete the Application
Provide applicant, parcel, contact, driller, and well-type information, then sign and date the application.
3
Gather Required Items
Include payment, directions with a map, and a detailed site map showing setback distances in US feet.
4
Submit to the County
Send the application and required items to the Environmental Health Division, PO Box 476, Weaverville, CA 96093.

Frequently asked questions

Do I need a notary for the Water Well Permit Application?: No. The application has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the Water Well Permit Application?: Send it with payment, directions with a map, and a site map showing setbacks to the Environmental Health Division, PO Box 476, Weaverville, CA 96093.
What should the site map show?: Show the proposed well location and setback distances in US feet, including distances to parcel lines, structures, roads, septic systems, and waterways.
What information does the application request?: It asks for applicant and parcel details, driller contact and license information, the type of well, and whether an agricultural well is within one mile of a navigable waterway.

Need something notarized?

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