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2. Application

   To apply for a temporary irrigation exemption, please complete the form below.

   The exemption period for new sod is up to 21 days and seed and other plant material up to 30 days from the date of installation.

   An $10 fee will be assessed on the water billing account account associated with this property address.

   
   

   Please note: Exemptions are not issued or applicable in the month of July.

4. Property Address Requiring Exemption:*
6. Company Name*
8. Company Phone*
   xxx-xxx-xxxx
9. Company Email
11. Registered Landscaper*
12. Registration Number*
16. Reason for Exemption Request*

    1. New sod
    2. New seed
    3. Other plant materials (e.g. trees, shrubs)
17. Total square footage
19. Type of soil preparation materials used. This material should be tilled to a minimum 6" depth.*
21. Soil Inspection Date*
22. Date sod/seed installed:*
24. Backflow prevention test date (if applicable)*
25. If irrigation system was builder/developer installed, please list Building/Irrigation Permit #
27. Hydro-seed installation requires "Special Schedule Submittal". Please call 720-733-2306.
31. Acknowledgement

    I understand this is a "temporary" exemption that allows daily watering for the identified property, between the standard schedule hours of 12 to 8 a.m. during the identified exemption period. I understand this exemption will not increase the amount of the monthly water budget. I understand that I will abide by the Water Use Management Plan and all applicable watering restrictions.

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field