New Project Application Form Shareholders Name: * First Name Last Name Ditch: * Phone * (###) ### #### Email * Project Location: * Project Description * In the provided space below please provide written description of the proposed project. Describe the type of system or structure to be installed, or constructed; include dimensions of structures, pipe sizes, locations, etc. **Applicant understands that by placing anything in the ditch, such as culverts, or altering the ditch in any way, that they are now responsible to keep the culvert or structure cleared not only during their turn of irrigation but during the entire duration of the irrigation season. * *By clicking the 'Confirm' button, you acknowledge that you have read and understood the above paragraph in full and agree to its terms. Confirm * *By clicking the 'Confirm' button, you affirm that the name entered in this form is your own, and you acknowledge that this action constitutes your digital signature for the purpose of this form. Confirm If you have any questions, please contact the office at (928) 333-5604. NO ACTION MAY BE TAKEN UNTIL BOARD APPROVAL HAS BEEN GIVEN, AND A $100 NON-REFUNDABLE APPLICATION FEE HAS BEEN PAID IN FULL. Payment must be in the form of a check, cashier’s check, or money order and mailed to PO Box 520 Eagar AZ 85925 or brought by the office at 823 E Main Street Springerville AZ 85938, you can also pay by credit card below. Your form has been successfully submitted.Thank you! Only click pay here if you’ve already submitted your form and the projected has been accepted through board approval. Pay Here
