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 shut 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-potable 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 rates 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 instructions 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 make 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 Program 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 WaterSense 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 provided burden estimates, and any suggested methods for minimizing respondent burden, including 

through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 

Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed annual data form to this 

address.