Revised 4/14/2020
City of Durham
Temporary Outdoor Watering License Application
First Name:
Last Name:
Company Name (if applicable):
Phone No.:
Fax No.:
Email address:
Street Address (where irrigation will occur):
Mailing Address:
City:
State:
Zip:
City:
Zip
Water Account Number at watering location:
Please explain the reason for your license request:
Please describe the plant material to be watered:
Irrigation will occur by (check all that apply):
Hose-End Sprinkler Automated In-ground Drip System
Automated Spray (In-ground) System Manual In-ground Drip System
Manual Spray (In-ground) System Other
I hereby attest that all information contained on this application is correct and true to
the best of my knowledge. I understand that any license received pursuant to this
application may be revoked for failure to abide by established rules and procedures, for
misrepresentations made in this application, for excessive runoff from the irrigated
landscape or other water waste, or for any other good cause. I understand that a license
granted through this application will be valid for only 45 days from the date of issue. I
understand that completion of this application in no way guarantees or implies approval
for a Temporary Outdoor Watering License.
___________________________________ _______________________
Signature Date
Submit by mail, or scan and
email to:
City of Durham
Dept. of Water Management
1600 Mist Lake Dr.
Durham, NC 27704
Phone: (919) 560-4381
savewater@durhamnc.gov
All licenses and required signage
must be picked-up in person at the
address noted above within 5
business days of notification or
the license will be rescinded and
applicant will need to reapply.
Office Use Only
Approval by:
License No.
City Manager or Designee
Date
Sign Issued by:
Start Date:
Sign Received by:
End Date:
click to sign
signature
click to edit