Search Well Program Forms: Permit Applications

Forms & Documents > Permit Applications > Drinking Water Protection Forms: Permit Applications > Well Program Forms: Permit Applications

Name Description
Addendum-to-Well-Permit-Appl-Fee-Waiver-Replacement-Well-Reqmts-Well-Owner-Sign-Off

Addendum to Well Permit Application Fee Waiver Replacement Well Requirements Well Owner Sign Off

Monitoring-Well-Destruction-Permit-Application

Application for Monitoring Well Destruction Permit

Monitoring-Well-Permit-Application

Application for Monitoring Well Permit

Well-Destruction-Permit-Application

Application for Well Destruction Permit

Water Well Construction Permit Application Packet

Fillable Application for Well Permit

Environmental Health Services Supervisors

Environmental Health Services is open Monday-Friday from 8am to 5pm. 

Cindy Rattigan (805) 781-5544 [email protected]

Jeremiah Damery (805) 781-5548  [email protected]

  • Beach Water Quality, Cross-Connection, Land Use, Small Public Water Systems, Water Well Programs and Vector Programs

Leslie Terry (805) 781-5553  [email protected]

  • Body Art, Food Safety, Public Swimming Pools and Spa Pools

Linnea Chandler (805) 781-4917  [email protected]

  • Hazardous Materials (CUPA) Programs