not near available private water sources. water private available near not are land, vacant on those especially However, gardens, some bill. agarden’s of water cost the sharing in interested those for installed be can Sub-meters plants. way water to a low-cost are aneighbors) or (such hose your as sources water Private 1. Private Water Sources Urban Gardens &Farms: Getting Water Access Philadelphia Water Department Guide for CITY OF PHILADELPHIA setting up a permanent water service as participants in ’s Urban Garden Program. in Garden PWD’s Urban as participants water service up apermanent setting Trust Gardens when Neighborhood the or (PHS) (NGT) Society Pennsylvania the Horticultural with should work farms of source water. and gardens water practical and supply is reliable and drinking amore Interested city’s the protects better water service to so. Apermanent do permission and growers when have capacity the water service a permanent water, to obtain ofnumber options year-round either establish seasonally. farms and or gardens urban recommends PWD This guideprovides a to flourish. need water havethey to the farms and access gardens is urban to goal ensureOur that by: to residents benefits provide many community. wonderful farms and gardens farming and gardening Urban of Philadelphia’s urban robust guide this in support to present is pleased (PWD) Water Philadelphia Department The for accessing water forplants: in Philadelphia haveGardeners four options Example of a sub-meter installed on a water service adjacent to the garden. the to adjacent service awater on installed asub-meter of Example • • • 4. 3. 2. 1.

Making healthy foods accessible healthy foods Making Providing of community asense space green and open Preserving Fire hydrant permits collection Rain Private, existing water sources New, dedicated water lines

2. New Water Sources • • • • Important members. garden of responsibility isthe box enclosure meter the and line service water the of repair and winter.the Maintenance during removed meter the having require may locations some and cold, the against protected be to need enclosures ground A Appendix (see specifications PWD’s the meets that enclosure ground above or underground an with plumber by aregistered installed service awater having for responsible are gardeners Urban garden. the and main water the between distance the upon $10,000,than depending cost sometimes can but $3,000, begins line water new a installing of cost The location. as such factors on depending cost, in vary agarden to directly go that lines water New monthly basis. monthly a on remotely read be can meter the that so meters automatic-read with equipped be can farms and Gardens Water Department. by the waived be will year the of months six remaining the for charge service water The 25%. of discount charitable the for eligible be may bill This charge. service water the as well as period usage six-month water a covering bills paying for responsible are gardens Urban registered plumber. basis by a on a yearly inspected device prevention backflow line’s service water have to their required are gardens Urban meter.water [email protected]) (215) or 828-0685 Supervisor &Permit Unit Metering Brindisi, with appointment an to are required representatives garden preventer are installed, backflow box and meter line, service water the Once • • Reducing stormwater runoff by soaking up rain up soaking by runoff stormwater Reducing beauty natural Fostering : ) for the protection of drinking water quality. Above Above quality. water drinking of protection the ) for for the installation of a of installation the for PWD’s Meter Shop Shop Meter PWD’s (Vincent (Vincent

1

v. 2.2 - October 2019 *  PWD Guide for Urban Gardens &Farms: Getting Water Access CITY OF PHILADELPHIA 3. Rain Collection www.pwdraincheck.org is adownspout to access provided garden, your for water through the Rain Check program. This is a great way to collect way collect to isagreat This program. Check Rain the through PWD provides free rain barrels to Philadelphia residents residents Philadelphia to barrels rain free provides PWD available and the water collected is safe for use. To use. for a issafe receive collected water the and available free barrel, you must attend a Rain Check workshop. RSVP at at RSVP workshop. Check aRain attend you must barrel, free PWD Urban Gardens &Farms Note: If you can’t guarantee safe water, only use rain barrels for for water, barrels rain safe use only guarantee you can’t If nonedible crops. nonedible acertified through quality water barrel rain pathogens. lab and follow best practices, especially when growing food. food. growing when especially practices, best follow and lab The Urban Garden and Urban Farm Loan is an interest- isan Loan Farm Urban and Garden Urban The Approved applicants will enter into an Urban Garden and and Garden Urban an into enter will applicants Approved Assistance for Urban GardensandFarms See the Charitable Discount Application for Community Community for Application Discount Charitable the See Gardens in in Gardens Use of the loan proceeds is restricted to the cost to to cost the to isrestricted proceeds loan the of Use to committing PWD with Agreement Loan Farm Urban www.phila.gov/water/helploan assigned plumber by alicensed performed be shall work gov/water/PDF/Form_G.pdf All specifications. Department’s the meets that enclosure farms. urban and gardens urban to lines service water of of Philadelphia Water for installation the Department PWD offers a 25% discount on water bills for eligible eligible for bills on water discount 25% a offers PWD urban gardens and farms that install a new water line. line. water anew install that farms and gardens urban and meter box with an underground or aboveground aboveground or underground an box with meter and specifications. Formore specifications. oninformation obtaining a HELP Discounts for Urban Gardens and Farms and Gardens Urban for Discounts Farms and Gardens Urban for HELP free, installment payment loan administered by the City City by the administered loan payment installment free, by the Department, and comply with all Department Department all with comply and Department, by the repay the total cost of the work to the City of Philadelphia. Philadelphia. of City the to work the of cost total the repay loan, please call 215-685-4901 or visit visit or 215-685-4901 call please loan, install a water service line, backflow preventer, meter backflow line, service awater install Runoff from a roofs can contain contaminants and contaminants contain can roofs a from Runoff Appendix Appendix or call 215-685-6213. call or or online at at online or . . http://www.phila.

Arch streets. The applicant can obtain a permit in one visit to to visit one in apermit obtain can applicant The streets. Arch 4. Hydrant Permits Center Compression Locks (CCL) on hydrants. These locks locks These (CCL) hydrants. on Locks Compression Center Concourse level of the Municipal Services Building at 15 at Building Services Municipal the of level Concourse Unauthorized use has caused neighborhood water pressure pressure water neighborhood caused has use Unauthorized water source is available, PWD recognizes that, with proper proper with that, recognizes PWD isavailable, source water on the following page to obtain a fire hydrant permit. hydrant afire obtain to page following the on devices disabled and unavailable for fighting fires. fighting for unavailable and disabled devices introduced are that Contaminants system. supply water the on stress extreme place can and mains water City to connection of Licenses and Inspection. The permit office is located in the the in located is office permit The Inspection. and Licenses of general The public. long-term goal of Water the Department the office and it takes approximately 15 minutes. Use the steps steps the Use minutes. 15 approximately takes it and office the the Water Department has an ongoing program of installing installing of program ongoing an has Water Department the consequences, its and use unauthorized control to effort an In Fire hydrants are for fighting fires. They are designed to provide provide to designed are They fires. fighting for are hydrants Fire Fire hydrant permits can be obtained through the Department Department the through obtained be can permits hydrant Fire and City-wide emergencies. Operation of fire hydrants by hydrants fire of Operation emergencies. City-wide and near-direct a provide hydrants fire Open uses. other all almost for inappropriate them makes of water. flow design Their a large activities and potable use. use. potable and activities benefit. Certain uses of fire hydrants are expressly prohibited, prohibited, expressly are fire hydrants of uses Certain benefit. require the use of a unique key not readily available to the the to available key readily not aunique of use the require life-saving these leaves that damage cause also can personnel Department and Water fighters fire trained than other persons into a fire hydrant can be spread quickly through a wide area. area. wide a through quickly spread be can hydrant a fire into including, but not limited to, cleaning streets, recreational recreational streets, cleaning to, limited not but including, public a hydrant provide sufficient uses certain instruction, However, other no hydrants. when public all lock is to (continued) th and and 2

v. 2.2 - October 2019 PWD Guide for Urban Gardens &Farms: Getting Water Access CITY OF PHILADELPHIA PWD Urban Gardens &Farms 4. 1. 2. 3. 6. Step by Step Guide Step by Step 5. Obtaining aHydrant Permit Joe YeagerJoe 215-685-9655. at 75 feet from Chestnut and/or in front of 325 S. Broad Broad S. 325 of and/or front in Chestnut from 75 feet Application form must be filled in as completely as completely as in filled be must form Application A permit will not be issued without proof of the Submit Form an Urban Garden Application west. the isto River Schuylkill the and east, the isto River Delaware Note: Street.” When picking up your permit, include a copy of the the of acopy include permit, your up picking When Once the permit is issued for an Urban Garden, if the the if Garden, Urban an for isissued permit the Once permit the when notified be you will approved, Once is garden urban an for application the Once will be replaced by a standard non-locking cap. If the the If cap. non-locking by astandard replaced be will (see (see closest hydrant to your garden may not be available available be not may garden your to hydrant closest the as hydrants, any surrounding and garden cap is not replaced in a timely fashion, please contact contact please fashion, atimely in replaced isnot cap be can devices of list approved An contamination. Permitting Section, found on the concourse level. level. concourse the on found Section, Permitting your to closest hydrant the of location the Note information Garden Urban entire the review and Read applicant to purchase a backflow preventer to preventer abackflow purchase to applicant approved the of responsibility isthe it approved, ablock of center Mascher.” the in and Hydrants should be denoted by direction and a rough estimate estimate arough and by direction denoted be should for a number of reasons. If the hydrant is on an an ison hydrant the If reasons. of anumber for found at at found street. reference another from hydrant has a Center Compression Lock (CCL), the cap cap (CCL), the Lock Compression aCenter has hydrant receipt or physical proof for your backflow preventer. backflow your for proof physical or receipt from supply water drinking community’s the protect to by email submitted be to are Applications possible. by PWD. issued packet [email protected] location. Example: “Southeast corner of Thompson “Southeast Example: location. is available at the Municipal Services Building Building Services Municipal the at is available Street, Broad of block 300 the of side east the is on corner the provide to isnecessary it intersection, photo of the device. preventer, backflow necessary e.g., a cellphone Appendix B Appendix Joseph Yeager 29 Philadelphia, PA 19132Philadelphia, Engineering Load Specialist, Control th www.phila.gov/water/ccc.html &Cambria ). All fields in the Urban Garden Garden Urban the in fields All ).

or standard mail to: mail standard or Example:

“The hydrant hydrant “The A copy of the Discount Application and Property Owner Letter Letter Owner Property and Application Discount the of A copy Stormwater Fee of Consent can be found in Appendix D. Information and the the and D. Information Appendix in found be can Consent of 1, 2017.must gardens January Community effective gardens, an in services, management stormwater for rate discounted gov/water/wu/stormwater In June 2016, Mayor James Kenney signed an ordinance ordinance an signed 2016, Kenney June In James Mayor application to apply for the discount can be found at at found be can discount the for apply to application community qualifying for 100%, including and to up amount meet, at a minimum, the following primary criteria: primary following the aminimum, at meet, aspecial gardens community allowing by Council passed • • • The property’s principal use is for growing crops and and crops growing for is use principal property’s The A community group operates the garden for public benefit, and benefit, public for garden the operates group A community 80% of the property the of 80% Stormwater is sustainability managed on at least least at on managed sustainability is Stormwater for related issues related for (continued)

www.phila.

3

v. 2.2 - October 2019 In order to usedouble check valves, you must follow these safety procedures: Water LineSafety Procedures Appendix A Urban Gardens: Instructions CITY OF PHILADELPHIA • • • • • • from the list. from the of technicians isavailable at Backflow preventers mustbe testedannually by aCity CertifiedBackflow Technician. Alist vacuum breakers canprevent bacteria from entering your water line. If usingdripirrigation,ensure your system hasacheck valve. Check valves or pressure sprays, powders andother substances,non-organic fertilizers andhazardous substances. substances reduces the risk of cross-contamination: non-organic pesticides and weed-killing Neighborhood Gardens Trust (NGT) Garden Agreement We strongly recommend following the organic gardening practices outlinedin the annual Disconnect hoseafter use. and backflow occurs, anything in thecontainer cangetback into your drinking water. garden hoseoutof the bucket as this provides anair gap. If you leave the hosesubmerged Don’t submerge garden hoses.If you are filling abucket or rain barrel, keep theend of the contaminants can work their way up your garden hoseandinto your hosebib. left laying out, they cancreate puddles where bacteriaandchemicalscanpool. These Store hosesinhoserack anddonot allow hoses to siton the ground. When hosesare www.phila.gov/water/ccc.html ; the prohibition ofprohibition ; the following the . You may chooseany technician

v. 2.2 - October 2019 Appendix A Urban Gardens: Diagrams CITY OF PHILADELPHIA Show this diagram to the registered plumberShowregistereddiagramhire tothe you to this install the water lineandmeter pit.

v. 2.2 - October 2019 Appendix A Urban Gardens: Diagrams CITY OF PHILADELPHIA Show this diagram to the registered plumberShowregistereddiagramhire tothe you to this install the water lineandmeter pit.

v. 2.2 - October 2019 Appendix A Urban Gardens: Diagrams CITY OF PHILADELPHIA Show this diagram to the registered plumberShowregistereddiagramhire tothe you to this install the water lineandmeter pit.

v. 2.2 - October 2019 Appendix A Urban Gardens: Diagrams CITY OF PHILADELPHIA Show this diagram to the registered plumberShowregistereddiagramhire tothe you to this install the water lineandmeter pit.

v. 2.2 - October 2019 Appendix A Urban Gardens: Diagrams CITY OF PHILADELPHIA Show this diagram to the registered plumberShowregistereddiagramhire tothe you to this install the water lineandmeter pit.

v. 2.2 - October 2019 Appendix B Urban Gardens: Fire Hydrant Permit CITY OF PHILADELPHIA Garden Address: Name (Gardener) Are there visible hydrant problems or defects? same sideof the street? Are hydrant &garden on the PART PART Go tothe JoeCall Yeager PART 4: PART 2:      

    No No prevention photograph of backflow Adigital -stamped Obtain anup-to-date equipment list. garden and the hydrant. Share information from Part 1about your hydrant boxes are available. access to ahydrant, andask if any Explain that you are agardener seeking 1 :

Contact PWD Evaluate Site Obtain YourPermit L &IPlumbing Unit office  

Yes Yes at215.685.9655 soon aspossible If Yes , pleasecall 215.685.9641 hydrantgarden to Distance from to report defects. to get your permit.Bring with you:  feet  Photo ID as What of lockingdevice ison the top of the hydrant? (educated guessesare okay!) Estimated waterusage 

3-sided nut PART 3:        gallons        Pipe tape Few 3/4” X 4”nipples StandardHydrant wrench 3/4” garden hose 3/4” shutoff valve Hydrant adapter 3/4” X 4” PWD-approved list) 3/4” back flow preventer (must beon Obtain Equipment

Zip Code  or

Round nut   information andnotes) This Worksheet (or garden sq. feet & Worksheet usage ofday water minutes per

v. 2.2 - October 2019 Appendix B Urban Gardens: Fire Hydrant Permit CITY OF PHILADELPHIA Garden Address: Name of Garden What is the Responsible Party’s positionregarding ownership of the lot? Phone number(s) of Responsible Party Address of Responsible Party Name I hereby certify that the statements contained herein are true andcorrect to the bestof my knowledge andbelief. Iunderstand that metered waterservice? Does the locationhave a PART 2: PART Briefly summary of how theproposed garden will beabenefit to thesurrounding community: Is the parcel used for any other purposes?

 Authorized

if Iknowingly make any false statements herein. Iamsubject to suchpenalties asmay beprescribed by law or ordinance. No Applicant Signature 1 (as statedindeed) :

Garden Information Applicant Information Applicant Title  Philadelphia WaterDepartment

Yes of Owner of Property  

and backflow preventer)? available (lockbox hasameter use of ahydrant lockbox if no,If willagree you tothe  signature

No Email address of Responsible Party

Yes 

No If yes, pleaseexplain

 

Approved Yes State of the area to begardened? Approximate Square Footage Zip Code 

Disapproved Zip Code Date (mm//yy)  Application

Renewal

v. 2.2 - October 2019  Appendix C Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA Email Address City Mailing Address: Organization: Name: Is the property current on water bill,if applicable? Is the garden metered? Garden Address: Garden Name: PART 2: PART  

New Application No No 1 :

Applicant Information  Community GardenInformation  

Yes Yes  If no, will you agree to putinameter incompliance with reg. no. 58? RenewalExisting Application to application shouldbecommunicated to: Please print clearly. All correspondence pertaining to this Please print clearly. State Phone Number ! Please fill outoneapplicationper garden. Zip Code Garden:Relationship to 

No

Yes Page 1of 3

v. 2.2 - October 2019 Appendix C Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA 1. Selectcharitablepurposes for which parcel(s) are used: 6. Is the parcel used for any other purposes? 5. Does your organization operate entirely free from profit motive? 4. Does your organization relieve the government of someof itsburden? 3b.  3a. Is your garden open to the publicduringdaylight hours? 2. Does your organization donateor render gratuitously asubstantial portionof itsservices? PART 3: Does your organization have anopenadmissionpolicy?       

Community GardenUsage 

community garden organizations members of the previously stated Gardening activities conductedby No No No No No No

     

Yes Yes Yes Yes Yes Yes If yes, pleaseexplain If no, pleaseexplain If no, pleaseexplain If yes, pleaseexplain If yes, pleaseexplain If yes, pleaseexplain     (. Garden plots are available ona first-come, first-served basis) cause blight/nuisance Appropriately maintained soasnot to Operated for public/community benefit Page 2of 3

v. 2.2 - October 2019 Appendix C Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA I hereby certify that the statements contained herein are true andcorrect to the bestof my knowledge andbelief. Iunderstand that NOTE:  PART 4: (b) (a)  Authorized Mailing Address: Name: Applicant Signature remain eligible for these discounted rates andcharges. Charges mustmake timely payments onaccounts inorder to Organizations that have beenapproved for Charity Rates and minimum of one(1) year. all services. The suspensionperiodshall remain ineffect for a same rate(s) as the General Customer rates andcharges for Charity Rates andCharges, andshall berequired to pay the (2) consecutive billing cycles shall besuspended from the An organization that fails to make on-time payments for two if Iknowingly make any false statements herein. Iamsubject to suchpenalties asmay beprescribed by law or ordinance. person in the immediate vicinity of the parcel involved in this application isauthorized to admitinspector. It will benecessary for our inspector to read the water meter. Please fill in thename,address, andphonenumber of a Applicant Title PWD Inspector AccessPWD Philadelphia WaterDepartment Attn: CharitableRating Program Philadelphia WaterDepartment Customer FieldServicesUnit Philadelphia, PA 19132 2901 N. 29   PWD REGULATIONS 5.5 Suspension of Charity Rates andCharges (Groups IandIII)

th Street Please sendcompletedapplications to: signature or (d)  (c)  retroactive for the periodof suspension. described inSection5.3. Charity Rates andCharges will not be Suspended organizations must then submitanapplicationas occur until a full year of on-time payments hasbeenmade. Reinstatement of the Charity Rates andCharges will not suspension of the Charity Rates andCharges. Customers shall beinformed by first classmail of the 

Approved Phone Number [email protected]  Date (mm/dd/yy)

Disapproved 

Renewal Page 3of 3

v. 2.2 - October 2019 Appendix D Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA Step 5: Step 4: Step 3: Step 2: Step 1: discount. the for considered may be garden acommunity criteria, eligibility the of all meeting as as well application, inthe and below referenced documentation the of all providing By discount. the of criteria eligibility the 19-1600 Chapter and concerning Regulations details provide Code Philadelphia The of stormwater charge 203 if criteria. they Section of meet certain the Philadelphia Water Department discounted a afforded be should gardens community that determined has Council City Philadelphia Gardens Help and Discount Instructions Community Application ? Questions?

and make sure to show the garden boundaries. make toand sure show garden the types coverland to show different areas the outline or Hatch Maps. Bing or Maps like Google application mapping Stormwater online an or Viewer Parcel PWD’s using found be can photographs Aerial exists. garden areasand thecommunity where streets cross by the or drawing photograph aerial an out by printing either garden the of amap Create application. the with submitted to be one take or garden the of photograph arecent  • • • accepted by but minimally PWD with the application: one of be submitted these must be would following the of Any requirement. to use right the to support Make you sure have documents    application: the with submitted be must these of one minimally but by PWD accepted be Make sure you have the organizational Any of requirement. to the following support documents would Parcel Viewer that make theDetermine Garden by parcels up online looking the at Community PWD’s Stormwater PWD Form G-1PWD and organization or applicant owner Lease or license property between applicant inDeed the name of the organization or   one proud leader List of active gardeners identifying atleast Community garden rulesor bylaws Articles of incorporation Please call the PWD Stormwater Appeals Team at 215.685.6244 or email them at at them email or Team 215.685.6244 at Appeals Stormwater PWD the call Please ( www.phillystormwater.org ) . These parcels must be listed in Section 3 of the application. the 3of inSection listed be must parcels . These - ServiceCharge Discount Application  • community garden community as a it use and parcel the to possess right applicant’s the TrustGardens demonstrating Society,Horticultural or Neighborhood development the Pennsylvania corporation, faith-based organization, community from affiliated Letter civic association,  Letter attesting to the applicant’sLetterattesting tothe Society, or Neighborhood Gardens Trust corporation, the Pennsylvania Horticultural organization, community development such asacivicassociation, faith-based organization from anassociatedaffiliate boundary Garden [email protected] Gravel path (typ) Concrete pad

v. 2.2 - October 2019 Appendix D Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA ! Email Address City Mailing Address: Name: Email Address City Mailing Address: Organization: Name: Garden Address: Garden Name: Secondary Contact Information: PART 2: PART ! Please fill outoneapplicationper garden. Registered parcel addresses to belistedon the following page. 1 : Applicant Information  Community GardenInformation

Future correspondence pertaining to a renewal applicationmay becommunicated to: application shouldbecommunicated to: Please print clearly. All correspondence pertaining to this Please print clearly. State State - ServiceCharge Discount Application Phone Number Phone Number Case No. FOR CITY USEONLY Zip Code Zip Code Garden:Relationship to Date Received Call Key Page 1of 3

v. 2.2 - October 2019 Appendix D Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA Attach anadditional sheetif more spaceisneeded.Parcel information canbe found at Please listeachparcel that makes up the Community Garden, by address andOPA account number below. ParcelStreet Address PART 4: PART 3:

2)  1)  Right to use land as Community Garden: Community as land to use Right Please provide Organizational Requirement: Please provide ii) i) iv) iii) ii) i) Registered Parcels Required Documentation Lease, license, or other similar agreement inDeed the name of the organization/applicant Rules or Bylaws. Garden Community to the applicant’s organization attesting Letter one least at identifying gardeners active of List of incorporation, Articles Neighborhood Gardens Trust, Gardens Neighborhood Pennsylvania Society, Horticultural or developmentcommunity corporation, faith-basedassociation, organization, as a civic such affiliate, associated an from proud leader at least one least at at least one least at of following: the of following: the

Please provide eachof the following documents with submissionof application.

OPA Account

- ServiceCharge Discount Application (optional) 4)  3)  submitted along with Form along G. with submitted (not be must of old) days 30 garden than the more Photograph of the Garden: Map ofMap the Garden: grass, pavement, roof, pavement, grass, etc.) (soil, andland cover types streets labeling Garden iv) iii) PWD Form G-1.PWD from civicLetter association, faith-based use it as a community garden, garden, as acommunity it use and parcel the to possess right applicant’s the Trust, Gardens demonstrating Neighborhood or Pennsylvaniacorporation, Society, Horticultural developmentorganization, community

PWD Parcel ID

Please provide of amap the phillystormwater.org

A recent photograph FOR CITY USEONLY Page 2of 3

v. 2.2 - October 2019 Appendix D Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA PART 6: PART 5: Applicant Name the conditions. current Property without unreasonable disruption to to inspect the ensure Property that the provided information accurately represents and times reasonable at any case, in and, notice written hours 48 providing upon Property the enter to employees, and or requirements eligibility for individual change. parcels I hereby grant permission to the City, authorized its agents inaccurate, is provided information the determines later it if discount revoke the may City the and provided, information the on based be will Discount Garden Community the that understand Ifurther statement. accurate and complete a represents and correct of my knowledge, best the to is, application this in contained information the that I certify     By checking the following boxes, Iacknowledge that:    as are reasonable andnecessary to growing suchcrops andmaintaining the garden. The parcel’s principal useisdevoted to regularly-planted crop bedsandsuchother related uses Crops are harvested for personal consumption, donation,or sale. individuals describedinPWD Regulation Section 203.2(d). Gardening activities are conductedprimarily by members of the organization or group of blight or nuisance. The garden isoperated for publicbenefitandisappropriately maintained soasnot to cause Acknowledgments Applicant CertificationandRight-Of-Entry Applicant Signature (Printed) Send the completed form andsupportingdocumentation to:  

email For inquiries,pleasecall Philadelphia Water Department Stormwater Billing Program [email protected] Philadelphia, PAPhiladelphia, 19107 1101 Market Street 4 th Floor - ServiceCharge Discount Application 215.685.6244 or or

Date (mm/dd/yy) Page 3of 3

v. 2.2 - October 2019 Appendix D Urban Gardens: CharitableDiscount Application CITY OF PHILADELPHIA Applicant Name throughout thethroughout of duration the stormwater charge discount management service period. property this for charges usage and service other all any and for responsible still Iam that and any time, at discount charge service management stormwater associated revoke the may and garden community mentioned above of the part as inclusion parcel’s this deny or approve to right the retains Water Department Philadelphia the that I acknowledge is: part, or inwhole parcel, the that I attest property the to use myhas consent I of Consent Letter Community Garden Discount Application Charge Stormwater Service Management Applicant Signature • • • • • Operated for public benefit sale or donation, consumption, personal for harvested parcel(s) are said from Crops to growing such crops and maintaining the garden necessary and reasonable are as uses related other such and beds crop regularly-planted to devoted Principally organization garden community stated above of the by members conducted activities gardening for Used nuisance or blight cause to not soas maintained Appropriately (Printed) Parcel Owner Send the completed form andsupportingdocumentation to:   email For inquiries,pleasecall Philadelphia Water Department Stormwater Billing Program [email protected] , do hereby attest that that attest hereby , do Philadelphia, PAPhiladelphia, 19107 1101 Market Street 4 th Parcel Address Floor - ServiceCharge Discount Application 215.685.6244 Community Garden OrganizationCommunity or or

as a community garden. garden. as acommunity Date (mm/dd/yy)

v. 2.2 - October 2019