DESIGN APPLICATION


Please complete the following form to tell us about your application. All fields must be completed before submitting. Please insert "N/A" for non-applicable or unknown fields.

Design Application
  1. Project Name:
    (as permitted)
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  2. Project Location:
    (Street, City, County, State, Zip)
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  3. Project Owner's Name:
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  4. Engineering Firm:
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  5. Project Engineer's Name:
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  6. Engineer's E-mail Address:
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  7. Firm Address:
    (Street, City, State, Zip)
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  8. Firm Phone Number:
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  9. Firm Fax Number:
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  10. 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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  11. Please indicate the public utility that will be accepting the wastewater flow from your application:
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  12. 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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  13. Please indicate how the wastewater is being discharged:




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  14. If wastewater is being discharged into a force main, what are the static pressures of the force main? Please indicate:
  15. High Pressure:
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  16. Low Pressure:
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  17. Please list below the elevations of your application:
  18. 25 year flood elevation (FEMA):
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  19. 100 year flood elevation (FEMA):
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  20. Influent pipe elevation:
    (The elevation at which the wastewater will enter the wet well)
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  22. Station grade elevation:
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  23. Highest grade elevation between pump station and the force main discharge point:
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  24. Identify Available Power:






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  25. Items
    Clock Position
  27. Discharge Lines:
    3:00--
  28. Primary Invert:
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  29. Secondary Invert:
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  30. Location of Control Center:
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  31. Pipe Diameter of Primary Invert:
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  32. Pipe Diameter of Secondary Invert:
    (If none enter N/A)
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    		33.
  33. Please attach the site plan in PDF format:
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  34. Invalid Input