OMB Control Number 2040-0272 Approval Expires XXXX



# Irrigation Partner Annual Reporting

EPA WaterSense ® 

### Program Partners: Please complete and submit to WaterSense by March 1, 2011.

Section I: General Information

Name: _______________________________________________________________________________________

Name of Company/Organization: __________________________________________________________________

Email: ___________________________________ Telephone: ___________________Fax: ___________________

What type of irrigation work do you do? (check all that apply)

 

### Irrigation System Design  

### Irrigation System Installation/Maintenance  

### Irrigation System Auditing

 

### Commercial  

### Residences  

### Inactive (e.g., academic, manufacturer)

 

### Other (Please describe):

Section II: Water Efficient Practice

Please indicate what water efficiency measures you took in the design, installation, maintenance, or audit of irrigation systems in 2010.

System Design/Installation

Installed a rain sensor shut-off device to prevent watering during and after rain. 

Specified or installed a WaterSense labeled a weather- or sensor-based irrigation controller. 

Installed drip or low volume irrigation emitters. 

Used matched precipitation nozzling. 

Ensured overlapping, head-to-head coverage for efficient and uniform water distribution. 

Planned zones according to plant type and their water needs. 

Installed sprinkler heads according to the plant type and size and shape of the landscape. 

Installed low angle nozzles in windy areas to lessen water loss. 

Used the proper pipe sizing to ensure uniform operating pressure and even water application. 

Installed check valves to prevent low head drainage in sloped areas. 

Installed a flow sensor to automatically s hut off a system in the event of a break. 

Ensured correct pressure and flow rates are applied to avoid misting or fogging, using pressure regulating devices when applicable. 

Encouraged customers to consider non-potabl e water sources for landscape irrigation. 

Other (Please describe): 

### System Maintenance

Routinely checked sites for damaged sprinkler heads, inadequate coverage, clogged nozzles, and leaks. 

Ensured that the application rate s were adjusted to avoid runoff. 

Adjusted sprinkler heads as needed to avoid overspray. 

Set the schedule to irrigate using short cycles to allow water to soak in to avoid runoff. 

Developed written operation and maintenance instruct ions for customers including watering schedule, seasonal adjustments, winterizing, and spring reactivation. 

Performed audits of customer sites to ensure efficient operation. 

Recommended upgrade to systems to ma ke them more water efficient (e.g ., drip irrigation, installation by WaterSense labeled controllers)

Other (Please describe): 



### System Audits

1. If you perform irrigation audits, what types of properties did you audit in 2010?

Section III: Control Technologies

1. Do you specify or install weather- or sensor-based irrigation control technologies?  

### Yes  

### No If yes, approximately how many controllers did you install in 2010? _______________________________

Section IV: Water Savings Data

1. Do you track water savings data from water efficiency measures?  

### Yes  

### No If yes, approximately how many gallons of water did you save in 2010 through efficient system design, maintenance practices, or audit recommendations? _____________________________________

Additional Explanation:

Section V: WaterSense Pr ogram Feedback (Optional)

In the interest of serving you better, EPA would like to learn more about your opinions regarding the WaterSense program and information needs. Please complete the following section to provide feedback to EPA.

1. On a scale of 1 to 5 (5 = most valuable), how valuable do you find the WaterSense program? Value: ___________

How has WaterSense added value? ______________________________________________________________

2. On a scale of 1 to 5 (5 = most valuable), how valuable did you find the materials from the tool kit?
Value: ______

### 3. Please provide suggestions for improving the WaterS ense program (e.g., tools/materials, communications, Helpline, Web site, etc): ________________________________________________________________________

___________________________________________________________________________________________

Please submit to the WaterSense Helpline by March 1, 2011.

Fax: ( 703) 841-1440

Mail: 2300 Wilson Blvd., Ste. 350, Arlington, VA 22201 Electronically: If you have Adobe Acrobat Standard or Professional, you can complete the form electronically and

e-mail it to watersense@epa.gov . Acrobat Reader users must print forms after completing and fax or mail them. Contact the WaterSense Helpline at (866) 987-7367 if you have any questions about how to complete this form or

submission instructions.

EPA Form Number 6100-XX

The public reporting and record keeping burden for this collection of information is estimated to average 18 hours per response . Send comments on the Agency's need for this information, the accuracy of the prov ided burden estimates, and any sugges ted methods for minimizing res pondent burden, including through the use of automated collection techniques to the Director , Collection Strategies Division, U.S. Environmental Protecti on Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the complete d annual data form to this

address.