Pump Station Enquiry Form Please supply as much detail as possible. "*" indicates required fields Contact DetailsName* Company* Address* Address 1 Address 2 City County Postcode Phone*Email* Site DetailsName* Company Address Address 1 Address 2 City County Postcode PhoneEmail Site ConditionPumping Distance (C)*In metres Pumping Lift (B1)*In metres Discharge height (B)In metres (if different to lift) Proposed inlet depth (A)*In metres Inlet Size 110mm 160mm Discharge Size & Type* Type of applicationI.e. number of houses, pub etc Number of users* Material application* Sewage Storm Effluent Power supply* Single Three Phase New lay or existing rising main* New Existing If existing – size of rising main (D)* Pumping to*Public/private sewer, treatment plant etc Material application* Pedestrian 38T Other 24 Hours storage required* Yes No Kiosk Required* Yes No Kiosk Type* Metal GRP Telemetry/Alarm* Yes No Basic text GSM or Advanced with WiFi Enter the position of inlets required*As shown on the clock face diagramNotes or additional commentsNameThis field is for validation purposes and should be left unchanged.
