Bloomingdale/LeDroit Park Rebate Program

Permeable Pavement & Impervious Surface Removal

Pre-Construction Checklist
Name: _______________________
________________

Email: _______________________Phone:

Site Address:
_______________________________________________________________________
Please contact Sarah Davidson at sdavidson@allianceforthebay.org or 202-8179672 no less than five (5) business days before the start of work for a preconstruction inspection. Once you have received pre-construction approval,
please check that you have completed the following requirements and submitted
them to the Alliance for the Chesapeake Bay, including this form. Once the
Alliance approves the project, your contractor will work with you to arrange an
installation date.
Type of Installation:
Impervious Surface Removal and Replacement with Vegetated Space
Impervious Surface Removal and Replacement with Pervious Pavement
Area of Impervious Surface Removed and Replaced with Vegetation: _________sq ft
Area of Impervious Surface Removed and Replaced with Permeable Pavement:
_________sq ft
Amount Requested for Rebate: $ __________
Anticipated total project cost: $ _________
How did you hear about the RiverSmart Rebate Program?
___________________________________
Why did you choose to participate in the RiverSmart Rebate Program?
_________________________
_________________________________________________________________________________
Comments:
_________________________________________________________________________

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You may either email, or mail the Rebate Forms and supporting documents to:
Sarah Davidson
Alliance for the Chesapeake Bay
501 Sixth Street, Annapolis, MD, 21403
Email: sdavidson@allianceforthebay.org; Ph: 202.817.9672