PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING AND RETURNING THIS APPLICATION
Submit one application form and fee within seven (7) days to the address below for each aggregate well system. The application fee is $75.00 for each well. The form and fee must also be received within ninety (90) days after the termination date of the permit(s) to be considered for a rebate.
The District will not consider rebates of less than $100.00
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.
If the well(s) is for public supply, the ratio of water sold or otherwise accounted for to the total water produced, must be at least 85% during the permit term.
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