Find A Form

Already know which form you are looking for? Here’s a summary list of all forms presented on this website, in PDF format. Please read the forms carefully, and be sure to include the appropriate application fee with any form submitted to the District. Not sure which form you need? Please review the Open Outdoor Burning, PermitsVapor Recovery, and Grants & Incentives pages for guidance. If you have any questions, or doubts as whether you need a permit or not, please do not hesitate to call either the main office in Grass Valley or our Portola field offices.

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Burning
PDF Fillable
PDF
Form Notes
No Burn Day Authorization Please Read Policy and Procedure for Issuing Authorizations to Burn on a No-Burn Day first or call the district.
Smoke Management Plan Please visit our Open Outdoor Burning page read all the info therein.

Grants & Incentives
PDF Fillable
PDF
Form Notes
Carl Moyer Application Used by applicants wishing to participate in the Carl Moyer program.
DMV Surcharge Program Fund (AB 2766) Please refer to the AB 2766 DMV Funds page for forms and to see if we are accepting proposals.
Greater Portola Woodstove Change-Out Program Please refer to this page for program status and forms.

Vapor Recovery
PDF Fillable
PDF
Form Notes
Authority to Construct For retail gasoline dispensing facility construction or modification
  😯 Soil Vapor Extraction Form, Fillable For soil contamination clean up projects

 

Engines
PDF Fillable
PDF
Form Notes
Internal Combustion Engine Typically used for stationary or portable non-mobile engines running machinery or standby generators. When submitting this form you will also need to fill out a Permit Application Form and follow the instructions on the Instructions for the Permit Application Form. (See Stationary Sources below)

Equipment & Facilities
PDF Fillable
PDF
Form Notes
Asbestos Dust Mitigation Plan Template Visit the California Air Resources Board web site to view the text of the Asbestos Air Toxic Control Measure.
Asphalt Batch Plants
Sand & Gravel Crushing / Screening Plants
Soil Aeration / Remediation / Vapor Extraction Permit Application
Collins Pine Renewal For information on this permit and renewal application, visit this page.

Stationary Sources
PDF Fillable
PDF
Form Notes

Permit Application Form

Instructions for the Permit Application Form

To obtain the correct filing fee be sure to also download the Instructions PDF. Some supplemental forms may be required.
Upset / Breakdown Form for Stationary Sources
Variance Application for a Regular Variance
Variance Application for a Short-term, Emergency or Interim Variance

County, Fire Department and Misc Documents
PDF Fillable
PDF
Form Notes
Vendor Data Record
Fire Department Violation Worksheet