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Project Submittal Form
Date:
Submitted By:
Phone:
Product Category of Interest (if known)
Unknown
Hydrodynamic Separators
Media Filtration
Drain Inlet Filtration
Low Impact Development
Specialty Filtration
Sediment Control
Temp Inlet Protection
Concrete Products
Maintenance Services
Other
Product Category of Interest (if known)
Unknown
Hydrodynamic Separators
Media Filtration
Drain Inlet Filtration
Low Impact Development
Specialty Filtration
Sediment Control
Temp Inlet Protection
Concrete Products
Maintenance Services
Other
Product Category of Interest (if known)
Unknown
Hydrodynamic Separators
Media Filtration
Drain Inlet Filtration
Low Impact Development
Specialty Filtration
Sediment Control
Temp Inlet Protection
Concrete Products
Maintenance Services
Other
Email:
Project Name:
City, State:
Site Use:
Commercial
Industrial
Residential
Other
Engineer
Address
City, State:
Contact:
Phone:
Email:
Contractor:
Address:
City, State:
Contact:
Phone:
Email:
Owner:
Address:
City, State:
Contact:
Phone:
Email:
Additional Information:
Product Application Request
Submitted By:
Phone:
Date:
Project Name:
Project Type
Product Model:
Project City/State:
Unit ID # (from plan):
Drainage Area (ac):
% of Impervious Area Draining to Water Quality Device:
Runoff Coeff. (C):
Curve Number (CN):
Time of Conc. (min):
Peak Flow (cfs):
Treatment Flow (cfs):
Storage Volume (cf):
Design Storm (in):
Required TSS Rem (%):
Avg Particle Size(um):
20
70
100
250
Other
Other Pollutant:
Required Rem (%):
Rim Elev. (ft):
Pipe Inlet 1 IE (ft):
Inlet 1 Pipe Size (in):
Inlet 1 Pipe Type:
RCP
HDPE
PCV
CMP
DIP
Inlet 1 angle (deg)*:
Pipe Inlet 2 IE (ft):
Inlet 2 Pipe Size (in):
Inlet 2 PIpe Type:
RCP
HDPE
PVC
CMP
DIP
Inlet 2 angle (deg)*:
Surface Inlet Type:
Outlet IE (ft):
Outlet Pipe Size (in):
Outlet Pipe Type:
RCP
HDPE
PVC
CMP
DIP
*measured clockwise from outlet
Groundwater Elev.(ft):
Upload PDF versions of Corresponding files/drawings/plans
Additional Information
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