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2. Submit Your Disconnection From the Stormwater System!
   Have you installed a rain garden, porous pavers, or a rain barrel at your home? Tell us about it! Use this form to share with us as much information as you'd like. We'll add it to our disconnect count and you will be helping the city reach its disconnect goal of reducing Puyallup's residential stormwater runoff and its impacts on our streams, river and Puget Sound.
4. Name
5. Email Address
6. Address of LID Feature
8. Is This Your Property?

   1. Yes
   2. No
9. Who Is the Owner
10. Can We List the Address of This Feature on the City Webpage?

    1. Yes
    2. No
12. Type of Feature(s) Installed

    1. Green Roof
    2. Porous Pavements
    3. Rain Barrel
    4. Rain Garden
    5. Other LID Feature
13. Size of Rain Garden
    (e.g. 10'x8')
15. Additional Information
    Describe the number of downspouts or roof area connected to rain garden, or driveway or sidewalk runoff directed to rain garden.
17. Rain Barrel Information
    Please describe any downspouts that are connected to your rain barrel and the size of the barrel (gallons, or liters). Or, if not connected to roof downspouts, what is the diameter of the barrel?
19. Size of Porous-Paved Area
    (e.g. 10'x4')
20. Location or Use

    1. Driveway
    2. Patio
    3. Sidewalk
    4. Other
21. Please Explain
23. Size of Green Roof Area
    (e.g. 10'x25')
24. Please Explain Other LID Feature
26. Additional Information
    If you have any other information you would like to share about your disconnect feature or project, please tell us!
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field