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*CompanyAddress Address 1 Address 2 City County Postcode PhoneEmail Site ConditionPumping Distance (C)*In metresPumping Lift (B1)*In metresDischarge height (B)In metres (if different to lift)Proposed inlet depth (A)*In metresInlet Size 110mm 160mm Discharge Size & Type*Type of applicationI.e. number of houses, pub etcNumber 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 etcMaterial 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 commentsEmailThis field is for validation purposes and should be left unchanged.
