Spotsylvania County, VA

Irrigation Auxiliary Meter Application Online Form

Water Conservation Program Application Online Form
Single Family Home Irrigation System
Click on the link below to go back to Guidelines
Residential Irrigation Program
Name*
Email Address*
Service Address*
City*
State*
Zip Code*
Contact Phone Number*
Other Contact Phone Number
Irrigation System Information
Is a Rain Sensor installed?*
1. YES
2. NO
If YES, is the Rain Sensor set to respond to 1/4" of rain?*
1. YES
2. NO
Is a Backflow Prevention Device installed?*
1. YES
2. NO
If YES, please provide the following information about the Backflow Prevention Device:
Make
Model
Size
Location of Backflow Prevention Device
Please provide the Irrigation Controller Information
Make*
Model*
Date Manufactured*
Location of Controller*
Form Submission Understanding & Agreement
By submitting this form, I agree to the terms and conditions outlined in the Spotsylvania County Water Conservation Policy and the General Installation Guidelines. I also understand that if a device or pump is installed on the irrigation line and damage is caused to the County-owned meter that serves the irrigation system, the homeowner will be charged for the cost of a replacement meter.
Authorized Printed Name*
Date & Time of Form Submission*
Date & Time of Form Submission
Date & Time of Form Submission

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