www.DurhamSavesWater.org
Irrigation Schedule Assignment Application
Please complete the following form only if the following conditions exist at your facility/location:
• One or more automated spray irrigation systems serve both odd and even addresses si
multaneously
• The au
tomated system cannot be set to differentiate service to odd and even a
ddresses
• Th
e irrigation system serves a common area(s
)
If the c
onditions above apply, please fully complete the form below. Upon review and approval, the City will assign an
irrigation schedule for your location. Failure to provide all necessary information will delay schedule assignment. No
irrigation may occur at this site until a schedule has been assigned.
FOR OFFICE USE ONLY
Parcel: ID Number:
Assigned by:
ScheduleAssignment:
ODD (Tue, Thu, Sat)
EVEN (Sun, Wed, Fri)
Notification Date:
Name of Organization/Complex:
Contact Name: Title:
Contact Phone Number: Fax Number:
Contact Email Address:
Account Number Servicing Irrigation System:
Service Location:
Mailing Address:
Street
City State Zip
Please provide a brief description of irrigation system at this location and its set-up:
Acknowledgment
Iherebyattestthatallinformationcontainedinthisrequestiscorrectandtruetothebestofmyknowledge.Iunderstandthatany
assignmentreceivedpursuanttothisrequestmaybechangedorrevokedatanytimeforfailuretoabidebyestablishedrulesand
procedures,formisrepresentationsmadeinthisrequest,orothergoodcau
se.Iagreetoasiteinspectionandverification.
Signature Date
Submittal Options
Fax: Mail: Email:
919-560-4479 Department of Water Management savewater@durhamnc.gov
Attn: Conservation Staf
1600 Mist Lake Dr.
Durham, NC 27704
CITY OF DURHAM
Department of Water Management
101 City Hall Plaza | Durham, NC 27701
919.560.4381 | F 919.560.4479
www.durhamnc.gov
