Instructions: PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING AND RETURNING THIS APPLICATION:
Submit one application form and fee within seven (7) days to the above address for each aggregate well system. The application fee is $75.00for each well. The form and fee must be received within ninety (90) calendar days after the termination date of the permit(s) to be considered for a rebate.
A water meter must be installed and operating for the entire withdrawal period in accordance with Section 8 of the Rules of the District if a rebate is requested.
Items marked with an * are required.
1660 W. Bay Area Boulevard • Friendswood, TX 77546-2640 Phone: (281) 486-1105 • Fax: (281) 218-3700 www.subsidence.org