Application for a Tier 4 End Use Rainwater Harvesting System

The following steps are necessary to apply for a Tier 4 End-Use (Potable) Rainwater Harvesting System

Complete and Sign the Application Form

All appllications must be accompanied by private sector evaluations and designs, to include:

  1. Design Cover Page*
  2. Water storage unit design notes and site drawings (as appropriate)
  3. Identification of roofing materisl
  4. System schematic
  5. Documentation of NSF and ASSE compliance as appropriate
  6. System sizing based on number of bedrooms or site specific criteria

*Design Cover Page is example only. Designers have descretion to use their own forms and letterhead provided that they provide the same information.

Submit the completed application form, cover page, and all relevant attachment (as PDFs) to rainwaterharvesting@vdh.virginia.gov.

Upon completion of the installation of a Tier 4 Rainwater Harvesting System, the following steps are neccesary to obtain an Operating Permit

  1. The installer completes the Completion Statement
  2. The design professional completes the Inspection & Completion Statement (to include as-built diagram; water quality test results per 12VAC5-635-310.B.5 and 12VAC5-635-310.C; confirmation of a continuity of water supply method; and final Operation and Management Manual per 12VAC5-635-350).

Submit documents needed to obtain an Operating Permit to rainwaterharvesting@vdh.virginia.gov.

Once in operation, scheduled inspections of a Tier 4 Rainwater Harvesting System shall be reported to the Health Department having jurisdiction in the location where the system is installed. THIS FORM may be used. If the inspector prefers to submit a report under a company letterhead, the submission must contain all the information listed on the Inspection Form.

Submit Tier 4 Rainwater Harvesting System Inspection Reports to rainwaterharvesting@vdh.virginia.gov.

Last Updated: February 20, 2025