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2. Applicant/Property Owner*
4. Project Address*
6. Contact First & Last Name*
7. Contact Phone Number*
9. Contact Address*
11. City*
12. State*
13. Zip Code*
15. Contact Email Address*
17. Project Type

    1. Rain Barrel

    1 barrel per address per year, max of 3 per address. 

18. Upload a copy of the rain barrel info and cost estimate
20. Project Type

    1. Soil Quality Restoration (SQR)

    Limit 1 per year per address, max 2 years consecutive.

    Please upload the four documents listed below.

     

21. Anticipated construction schedule including the expected completion date
23. Upload Vicinity map/drawing of SQR location & area that proposed BMP will treat
24. Upload a project summary and description
25. Upload a cost summary/contractor estimate
26. Upload before photo of lot
28. Estimated Amount of Project*
29. Reimbursement Amount Requested*

    $75 maximum for rain barrel. Minimum of 50 gallon barrell.

    50% match on an SQR installation up to $1,500.

31. Program Details

    □ AN APPLICATION FOR A RAIN BARREL OR SOIL QUALITY RESTORATION PROJECT CAN BE SUBMITTED INDIVIDUALLY.

    □ THE PROJECT MUST BE APROVED BY THE CITY BEFORE THE INSTALLATION. THE PROJECT SHALL BE COMPLETED WITHIN THE SAME CALENDAR YEAR OF THE CITY APPROVAL. DOCUMENTATION SHALL BE PROVIDED WITHIN 45 DAYS OF COMPLETION

    □ REIMBURSMENT WILL BE MADE AFTER THE PROJECT IS COMPLETED AND ALL REQUIRED DOCUMENTS ARE SUBMITTED.

    □ ACCESS TO YOUR PROPERTY WILL BE MADE AVAILABLE TO CITY STAFF FOR POSSIBLE REVIEW OF THIS APPLICATION AND INSPECTION OF THE PROJECT.

    □ REIMBURSMENT FUNDING IS SUBJECT TO AVAILABILITY.

    □ VENDORS AND CONTRACTOR INFORMATION FOR RAIN BARRELS AND SOIL QUALITY RESTORATION CAN BE FOUND HERE.

    
    

    VIEW THE FULL PROGRAM DESCRIPTION, INSTRUCTIONS, AND CONDITIONS HERE.

33. Signature*
34. Date*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field