Water Sight Glass? Yes No Automatic or Manual Air Blow Off? Yes No Pressure Switch For Pumps? Yes No PRESSURE TANKS Means for Adding Air? Yes No If Air Compressor, Give Capacity: CFM PSI Minimum Two Clearwell TREATMENT PLANT STORAGE Compartments Provided? Yes No (clearwells only) Disinfection Method: Testing (include chlorine dosage and retention Yes No time, including calculations) Influent: ( diameter-inches) (type of pipe) PIPING Effluent: (diameter-inches) (type of pipe) Coordinates: . ’ Latitude . ’ Longitude OR . °N Latitude LOCATIONAL . °W INFORMATION Longitude Geographic Datum: WGS84 NAD27 Collection Method: DGPS/WAAS enabled? Yes No GPS — Horizontal Accuracy? meters — Map Specify: WATER DISTRIBUTION SYSTEM Project: Engineer: Date: General Scope of Project:
PRESSURE TANKS Water Sight Glass? Automatic or Manual Air Blow Off? Pressure Switch For Pumps? Means for Adding Air? If Air Compressor, Give Capacity: CFM PSI Yes No Yes No Yes No Yes No TREATMENT PLANT STORAGE (clearwells only) Minimum Two Clearwell Compartments Provided? Yes No Disinfection Method: (include chlorine dosage and retention time, including calculations) Testing Yes No PIPING Influent: ( diameter-inches) (type of pipe) Effluent: (diameter-inches) (type of pipe) LOCATIONAL INFORMATION Coordinates: Latitude ’ . Longitude ’ . OR Latitude . °N Longitude . °W Geographic Datum: WGS84 NAD27 Collection Method: GPS — DGPS/WAAS enabled? Yes No — Horizontal Accuracy? meters Map Specify: WATER DISTRIBUTION SYSTEM Project: Engineer: Date: General Scope of Project:
EngineeringServicesPermitApplication.docx