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2. Applicant Information
4. Full Name*
6. Address of Proposed System*
8. County (Bastrop or Lee)*
10. Phone Number*
12. Email Address*
14. Date attended Rainwater Harvesting 101 Session (MM/DD/YYYY)*

    Please enter the date of the Rainwater Harvesting 101 Session that you attended. If you have not attended a Session please enter: Have Not Attended.

18. System Layout & Design
20. What is the collection area (roof or other surface)?*
22. Will a first flush diverter be used? (yes or no)*
24. Will a filtration system be used? (yes or no)*
26. What material is the storage tank(s)?*
28. What is the total capacity in gallons of the storage tank(s)?*
30. Will the system be attached to the home gutter system? (yes or no)*
32. Has the homeowner consented to installation of the system on the honme gutter system? (yes, no, I am the homeowner, not applicable)*

    Verification may be required.

34. System Capacity & Water Usage
36. Total square feet of roof or other collection surface?*
38. Using local rainfall data and roof or collection surface square feet in the previous question, determine the amount of water you stand to harvest using the following equation: Gallons Collected = Catchment Area (sq. ft.) x Rainfall (inches) x 0.623.*

    Rainfall Data

    • Bastrop County: 36.82 inches
    • Lee County: 36 inches
40. What is the intended use of the harvested rainwater (e.g. irrigation, livestock, household non-potable use, potable use with treatment)?*
42. Materials & Specifications
44. Number of storage tanks and storage capacity of each?*
46. If using a pump, please specifiy type and capacity.
48. If using a filtration system, please describe how water will be filtered and treated.
50. Maintenance Plan
52. Inspection schedule: how often will the system be checked for functionality?*
54. Cleaning and filter maintenance: please explain how and when gutters, screens, and filters will be maintained.*
56. Overflow & drainage management: please describe your plan for handling excess water and the prevention of erosion and flooding.*
60. Site Plan*

    Please upload a visual layout or drawing of the property showing where the rainwater harvesting system will be located. Please include collection surfaces (e.g. roogs) and storage locations.

62. System Components*

    Please upload a labeled diagram of the system's components (e.g. collection area, gutters, downspouts, first flush diverters (if applicable), filtration systems, storage tank(s), pump systems (if applicable), overflow, and drainage.)

66. Submission & Approval Process

    This plan must be submitted to LPGCD for review and approval before rebate is granted. Incomplete or insufficient plans may require revision and resubmission. Approval must be obtained prior to system installation to be eligible for rebate. By submitting this online form you certify that all information provided is true and accurate to the best of your knowledge.

68. Applicant Signature*

    Please type your first and last name as a digital signature.

69. Date*
    Date

    Please enter today's date.

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71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field