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 Application Fee Waiver Replacement Well Requirements Well Owner Sign Off


Application for Monitoring Well Destruction Permit


Application for Monitoring Well Permit


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
  • 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