Contact Information

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Technical Data

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(Street, City, State, Zip)

Please describe in detail the type of facility, with the description of facility services (including square footage), which the pump station will serve (Ex: food handling, car washes, number of rest rooms). If it is a residence, please include a complete description (single family, multi-family, attached, detached) and include the number of units, sq. footage and number of bedrooms per unit. For parks, churches and stadiums please include the number of seats or visitors:(*)
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Items

Clock Position


Discharge Lines: 3:00--

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(if none enter n/a)

Please indicate the public utility that will be accepting the wastewater flow from your application:(*)
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Please indicate how the wastewater is being discharged:(*)

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Please indicate the running length of force main in feet, including any aqueous crossings, the number of and degree of turns, and any type of above-surface crossings:(*)
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Power and Specification Upload

Identify Available Power:

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Please attach the site plan in PDF format: (*)
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(*)
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