P4APP (5-1-19)
Sewer Enterprise Division
WRF, Building 96
3000 Vandalia Rd.
Des Moines, IA 50317

PRIVATE PROPERTY PROTECTION PROGRAM
SUBSIDY APPLICATION

Property Owner Name

Date

Mailing Address

Email Address

Project address (If different from mailing address)

Des Moines Water Works Acct. No.

Work must be completed by a licensed plumber
Licensed Plumber or Plumbing Company Performing Work

Property Owner Phone No.

Company Address

Phone Number

Type of work to be completed (Check all that apply)
Estimated Cost
 Installation or Redirection of Sump Pump to Discharge
Flows from Foundation Drains and Area Drains………………. ________________
 Roof Leader Disconnection from Sanitary Service……………. ________________
 Backwater Valve Installation…………………………………….. ________________
Total estimated cost of project __________________
Subsidy amount requested _________________
(Maximum $1,500 subsidy as a reimbursement for 100% of the cost actually paid by the property owner for any material and labor for the
qualifying improvements)
Have you received a rebate under this program previously?

Yes 

No 

Please verify the following:
 I have attached to this application a detailed description of project including itemized estimate from licensed plumber.
 I have read and understand the Program Terms and Conditions (see page 2).
REMINDER: In order to ensure eligibility for subsidy, this application must be submitted to the City for pre-approval of qualifying
work prior to commencing work.
I hereby certify that the information provided herein is true and accurate, and I understand that any subsidy payment from this
program may be subject to income tax.

__________________________________________________
Signature of Applicant

Date

Application Instructions
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Submit completed application with itemized estimate and description of the project to: Sewer Enterprise Division, WRF Building
96, 3000 Vandalia Road, Des Moines, IA 50317-1346, or by emailing to stormwater@dmgov.org
City will review submitted application and issue a pre-approval letter for qualified work
Work must be completed by a licensed plumber with plumbing permit only after City issues pre-approval
After work is completed, additional documentation will be required including itemized invoice, proof of payment, plumbing permit
number, and W-9 federal tax form
City will process the rebate payment after receiving all necessary documentation
Access to your property may be required for city staff to review this application and inspect the completed project
For questions on this program, contact the Sewer Enterprise Office at 515-323-8165, or visit the city’s web site at:
www.dsm.city/PPPP

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 P4APP (5-1-19)

For Office Use Only
District and Parcel No. of Property _____________________________
Water Works Account Status: Current 
Overdue 
Amount Requested ________________
Subsidy Authorized by: (KLH, DWP, EJS) _______ Date__________
Direct Payment Requisition No. 4P-____________________________

Plumbing Permit No. ______________________________
Paying Sanitary Fee: Yes 
No 
Amount Approved ________________
All Documents Received: Yes 
W-9 Tax Form 
Date of Subsidy Payment: __________________________

Program Terms and Conditions
The Private Property Protection Program will provide a subsidy to property owners or renters who have paid for eligible costs
that contract with a licensed plumber to redirect one or more of the eligible sources of infiltration and inflow to an outlet other
than the sanitary sewer system or to install a backwater valve on the private sewer service to protect against surcharges on
the public sewer system.
With this program, the City will make a Private Property Protection Program subsidy reimbursement for 100% of the cost, up
to $1,500, to the property owners who meet the requirements of the program as listed in the key elements below.
Reimbursement for approved work will be by direct payment to the property owner.
The work must have been performed and completed between the dates of January 1, 2017 and June 30, 2023 to be eligible
for the subsidy program.
Qualifying Work Eligible for Funding:
• The installation or redirection of a sump pump to discharge flows from foundation drains and area drains to a nonsanitary sewer outlet such as a rain garden, storm sewer, or the ground surface.
• The disconnection of roof leaders from the sanitary sewer service.
• The installation of a backwater valve.
Terms for Eligibility for Reimbursement Subsidy:
• Must be existing home improvement (not new construction)
• Must be one of the improvements listed as qualifying work above
• Work cannot proceed until the application has been pre-approved by City
• Work requires a plumbing permit and must be performed by a licensed plumber
• Permit requirements can include requiring that work be done on other plumbing on your property in addition to eligible
work
• Applications must be received by June 1, 2023
• After work is completed and by no later than August 31, 2023, additional documentation will be required including
itemized invoice, proof of payment, plumbing permit number, and W-9 federal tax form.
• Subsidy will be for 100% of the cost actually paid by property owner up to $1,500 per property
• The property receiving the improvements must be connected to the sanitary sewer system and the sewer user fees
must be current.
• A property for which the maximum subsidy amount has been reimbursed by the city is not eligible for additional
subsidies under this program, regardless of a change in ownership or use, until at least ten years have passed since
the last date of issuance of the prior subsidy

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