Participant Design Questionnaire

First Name Last Name

Street Address

Street Address Line 2

City State

Zip Code

11-digit number with hyphen (ex. 123456-78910)

(For example: I plan to remove grass on the east side of my driveway and replace with cobble, wood mulch, and low-water use perennials.)

A minimum of 300 square feet must be converted to be eligible for a rebate. A maximum of 1000 square feet of area converted from high-water use to low-water use may be eligible for a rebate per address per year. Total area does not have to be contiguous.

Participants may choose to phase project installation. For example, a participant may choose to phase a 2000 square foot project over two years, installing 1000 square feet each year. The participant may then be eligible for a rebate each year. Each installation phase must occur within the corresponding rebate year.

(e.g. front yard this year, back yard next year)

Yes, and I will be sure this area meets Parkway Strip Requirements. No

For more information about City of Fort Collins Parkway Strip Requirements, check out this brochure.

Apply soil amendments, keep my receipt and submit a Soil Amendment Certificate at the end of my project. If I apply soil amendments, a Soil Test Report is NOT required. Provide a Soil Test Report with my Design Package to show that my soil does not need amendments. I'm doing the lasagna method to kill the grass and leaving the dead grass in place so I'm not required to provide a soil amendment certificate or report. I'm killing the grass with chemical and leaving the dead grass in place, so I'm not required to provide a soil amendment certificate or report.

City of Fort Collins code requires the addition of soil amendment in areas that are cleared and planned to hold plant material.

The vast majority of Colorado soil will require amendments.

For more information about the CSU Soils Lab, and Soil Reports, visit http://www.soiltestinglab.colostate.edu/

Sod cutter Lasagna method Chemical

Water the appropriate volume via automatic irrigation system Hand-water the appropriate volume, monthly. Haven't thought about it; I could use some help deciding!

Trees are not rebateable through XIP, but we love them and don't want them to suffer. See Forestry's website for more information on summer and winter watering schedules and recommended gallons based on size of tree: https://www.fcgov.com/forestry/tree-maintenance.php

Examples of hardscaping include boulders, retaining walls, cobble, wood and rock mulch, pavers, flagstone, gravel, stones, permeable concrete

Boulders Retaining walls Dry stream river rock beds Wood and/or rock mulch Pavers Flagstone Gravel, stones Porous asphalt or concrete

Cobble stone Flagstone pavers Metal Plastic Brick

Edging is required to separate turf from planting beds. Examples of edging include metal or plastic edging, bricks, pavers, stones, etc

Yes, and I have identified slope location(s) on my landscape or irrigation plan No

Yes, I have an automatic irrigation system with a time- or web-based controller. No

I am installing a new automatic irrigation system. I will retrofit my existing automatic irrigation system. I will use a spigot irrigation system. I will water by hand.

Watering wand Spray nozzle Bucket method Oscillating sprinkler Watering can

It is illegal to use a hose without any type of automatic shut-off device, like a spray nozzle. A nozzle-less hose is easy to forget, resulting in water waste and damage.

Some things to think about: how you will retrofit existing zones to accommodate a new drip line; how you will adjust sprinkler equipment; how you might adjust your irrigation schedule; if hand-watering, how you will decide when to water

Yes, and I will be sure to install the appropriate pressure reducing devices (pressure regulator). Sort of; I already have some drip equipment that I will be repurposing for this project. No, I will not be installing any drip lines.

It's OK to repurpose components you already own—just check that they are not broken, worn or leaky. If you already have a drip line in the areas you are renovating, then it is likely that this area does not qualify for the rebate since drip lines are designed to water low- and medium-water use plants.

A properly installed and approved backflow preventer keeps water that may be contaminated with pesticides and fertilizers from re-entering your home through your sprinkler system. All sprinkler systems must be equipped with an approved backflow preventer. Learn more at http://www.fcgov.com/backflow.

Water meters are usually located in the basement, or under a steel lid in or around the driveway.

Rain sensor Soil moisture sensor Neither I already have a rain sensor I already have a soil moisture sensor

*Some irrigation equipment is eligible for a residential irrigation rebate through our Efficiency Works program. Please visit http://www.fcgov.com/sprinkler-rebates to learn more.

Thank you for the information!

All other documents of the design package including the "before" photos, landscape plan, irrigation plan, and Participant Plant List, may be emailed to xeriscape@fcgov.com.

When you have completed this form, please click "Submit" below.