The Property Owner's Authorization Letter is a one-page form from the Sacramento County Environmental Management Department (EMD) in which a property owner designates a representative to procure well-related permits for a site. It is one of the well application and permit forms EMD lists on its Water Program and Well Forms page, not a business license, even though people reach it by searching terms such as "sacramento county business license". On FillingPDF you can fill out the form online and download or print the completed PDF; the original PDF is published by EMD at emd.saccounty.gov.
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What is Property Owner's Authorization Letter – Sacramento County, CA?
The Property Owner's Authorization Letter is the Sacramento County Environmental Management Department (EMD) form with which a property owner or officer designates an authorized representative to obtain permits for well work at a named site.
The authorization is limited by its own wording. It is given for the sole purpose of procuring permits for the construction, modification, repair, or destruction of wells or soil borings, and for the installation, repair, or replacement of well pumps, at the site address entered on the form. The top of the form identifies the site address and the well driller, with the driller's address, phone number, C-57 license number and license expiration date. The owner then lists the name(s), company, address, city, state and ZIP code of the entity or entities being designated.
By signing, the owner acknowledges two things. As the applicant for permits for activities regulated under Chapter 6.28 of the Sacramento County Code, the owner remains responsible for compliance with all provisions of that chapter. The owner also understands that the authorization can be rescinded upon written notification to the EMD.
The form is a letter of authorization, not a permit application and not a license. EMD lists it among the well application and permit forms, alongside a separate Well Driller's Authorization Letter, which carries the same update date, 06/18/2025.
Who needs to file Property Owner's Authorization Letter – Sacramento County, CA?
The form is for property owners, or officers signing for an owner that is an entity, who want someone else to procure permits on their behalf for well or soil boring work. The signature block reads "Property Owner/Officer", so the person signing is the owner or an officer of the owner.
It applies only to the activities named on the form: construction, modification, repair or destruction of wells or soil borings, and installation, repair or replacement of well pumps at the site address you enter. It does not authorize anyone to act for you on other matters.
Using the form does not move responsibility away from the owner. The form states that the owner, as the applicant for permits for activities regulated under Chapter 6.28 of the Sacramento County Code, is responsible for compliance with all provisions of that chapter.
Owners who want to end the arrangement can do so by written notification to the EMD. The form does not describe any other way to rescind it.
When to file Property Owner's Authorization Letter – Sacramento County, CA
Complete the letter when you decide to have a representative procure permits for well or soil boring work, or well pump work, at your site. The form prints no separate due date and no expiration of its own, and it ties the authorization to the permits for the site address you list.
Because it is a permit-related authorization, it belongs with the well permit process for that site. EMD's Water Program and Well Forms page lists it under Well Application and Permit Forms, with an update date of 06/18/2025.
You can end the authorization later: the form says you may rescind it upon written notification to the EMD.
How to fill out Property Owner's Authorization Letter – Sacramento County, CA
Enter the site address
Write the address of the site where the well, soil boring or pump work will take place under Site Address. The permits the authorization covers relate to this site.
Name the well driller
Enter the well driller's name on the Well Driller line.
Add the driller's address and phone
Complete Driller's Address and Driller's Phone No. with the driller's current contact information.
Enter the C-57 license details
Write the driller's C-57 License No. and the license Exp. Date in the spaces printed on the same line.
Designate your representative
Under the authorization statement, enter the Name(s), Company, Address and City, State, Zip of each entity you authorize to act as your representative.
Read the owner's acknowledgments
Check that you understand the two statements above the signature: as permit applicant under Chapter 6.28 of the Sacramento County Code you remain responsible for compliance, and you may rescind the authorization by written notification to the EMD.
Sign and complete the owner block
Sign on the Signature line, enter your name on Printed, give your title as property owner or officer on Title: Property Owner/Officer, and enter the Date.
Review and download the PDF
Check that the site address, driller details, license number and representative information are complete and consistent. Download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit Property Owner's Authorization Letter – Sacramento County, CA
The form prints no submission channel of its own, so confirm with EMD how it should accompany your well permit paperwork. EMD lists it on its Water Program and Well Forms page under Well Application and Permit Forms.
The letterhead gives these EMD contact details:
- Office: 11080 White Rock Rd, Suite 200, Rancho Cordova, California 95670.
- Phone: General (916) 875-8581; Environmental Health (916) 875-8440; Environmental Compliance (916) 875-8550.
- Website: emd.saccounty.gov.
To end an authorization you have given, send written notification to the EMD, as the form states.
FillingPDF lets you fill out and download the PDF; submission follows the EMD channels above.
Common mistakes to avoid
- Using the letter to authorize anything other than permits for wells, soil borings or well pump work; the form limits the authorization to that sole purpose.
- Leaving out the site address, so the authorization is not tied to the property where the work will happen.
- Omitting the well driller's C-57 license number or its expiration date, both printed as separate entries at the top.
- Submitting the letter unsigned, or without the printed name, title and date beside the signature.
- Signing as someone who is not the property owner or an officer; the title line reads Property Owner/Officer.
- Assuming the authorization shifts compliance responsibility to the representative; the owner remains responsible under Chapter 6.28 of the Sacramento County Code.
- Trying to cancel the authorization informally instead of giving written notification to the EMD.
Frequently asked questions
What is the Property Owner's Authorization Letter used for?
It lets a property owner or officer designate an authorized representative to procure permits for the construction, modification, repair or destruction of wells or soil borings, and for installing, repairing or replacing well pumps, at a listed site. The authorization is for that sole purpose.
Is this a Sacramento County business license?
No. The Property Owner's Authorization Letter is an EMD letter of authorization for well, soil boring and well pump permits. It does not license a business and it is not itself a permit; it only designates who may procure permits for the site.
Does the property owner stay responsible after authorizing someone?
Yes. The form states that, as the applicant for permits for activities regulated under Chapter 6.28 of the Sacramento County Code, the owner is responsible for compliance with all provisions of that chapter. Authorizing a representative does not remove that responsibility.
Can I cancel the authorization once I sign it?
Yes. The form says the owner may rescind the authorization upon written notification to the EMD. It names no other way to cancel, so put the notice in writing and send it to the EMD.
Who has to sign the Property Owner's Authorization Letter?
The property owner or an officer signs. The signature block includes a printed name, the title line Property Owner/Officer and a date. The form has no separate signature block for the representative you designate.
Where do I send the completed letter?
The form prints no delivery channel. EMD lists it with its well application and permit forms, and its letterhead gives 11080 White Rock Rd, Suite 200, Rancho Cordova, California 95670. Call Environmental Compliance at (916) 875-8550 to confirm how to submit it.
Can I fill out the Property Owner's Authorization Letter online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the letter with EMD; you deliver it through EMD's channels.
Is there a Well Driller's Authorization Letter too?
EMD's well forms page lists a separate Well Driller's Authorization Letter, updated 06/18/2025, next to this form. It is a different document from the Property Owner's Authorization Letter, so check EMD's page for which one your permit needs.
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