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CCWD
Drought
Management Plan
Exceptions Request Form


If you've had a change in your circumstances, and need to adjust your water budget, please fill out and submit this exceptions request form below.

Have a question? Please call us at the Drought Help Line at (925) 688-8009
or send us an e-mail.

If you prefer to fill out the form by hand, here is a pdf copy you can print.
Please send it to:
Contra Costa Water District
Water Savings Program
P.O. Box H20
Concord, CA 94524

Exceptions take effect on the day they are approved.
If you have a non-residential property, please fill out this form and send it to the address above.



 

Please use this exception request form to describe circumstances
that have changed
from your historical base usage years of 2005, 06 & 07.

EXCEPTIONS REQUEST
Account #  
Service Address:  
City       Zip
     
Name:  
Email:  
Daytime Phone:  
Evening Phone:  
Mailing Address:  
City       Zip
     
Residential Account      Non-Residential Account
 
Additional number of people living in home full time after 2007:

 
Medical — state medical condition and how additional water will be used for this treatment.
 
Other — describe:


(30 additional gallons per day for each additional household member
not present during 2005-2007)
     
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