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© 2014 AppTech Solutions apptech-solutions.com APPTECH Project No.:______________ Page 1/3 Product Design Worksheet CENTURY V-Series Pump Stations Email completed form to: [email protected] Please provide as much information as possible for accurate design and quotation. Available configurations will vary with Wetwell Diameter and Pipe Size. *Inlets may be installed by contractor on-site to match existing invert and angle of sewer system. Availability varies by sewer pipe material and diameter. Project Information RUSH REQUEST: Date: Respond By Date: Site Drawings Available: Yes, please attach Specifications Available: Yes, please attach Project Name: Funding: Regulatory Agency: Project City: State: Project Zip Code: Design Status: _______% Complete Permitted Approved Deliverable: Preliminary Budget Final Design Documents Quote Power Supply Available (Voltage, Phasing, Hertz): Submersible Pump Detail Pump Type: Sewage Grinder Effluent Non-Clog Other Pump System: Simplex Duplex Other ________________ Manufacturer/Model: Chord Length: Feet Impeller Type: Min. Solids Handling: Inch Min. Motor Horsepower: HP Max. Pump Speed (Constant): RPM Discharge Size: Inch Design Discharge Rate: GPM Design Total Dynamic Head: Feet Wetwell Detail (Reference Plan & Elevation Views) Top of Structure: Feet Finish Grade: Feet Daily Volume: GPD Peaking Factor: Wetwell Diameter: 4 ft 5 ft 6 ft 7 ft 8 ft 10 ft 11 ft Wetwell Height (Max. 55 feet): Feet Water Table Elev.: Feet Anti-Buoyancy Safety Factor (1.25 Min.): Emergency Storage Rqd: ______ Hours or ______ Gallons Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees Discharge Piping: Common Discharge Piping: Yes No Centerline Distance from Wetwell Centerline: Inches Valve Vault Drain: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees Inlet No. 1 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees Inlet No. 2 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees Inlet No. 3 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees Field Install Inlets*: Yes Inlet Drop Pipe(s) Required: Yes Hopper: Yes Hopper Slope (Rise/Run): 1/ Access Hatch: Manufacturer: Model: Water Tight: Yes Access Hatch: Length: Inches Width: Inches Lift Assist: Yes Fall Protection: Yes Vent w/insect screen: Yes Style : Gooseneck Mushroom Diameter: Inches Height: Inches Debris Basket: Yes Guiderail Material Type : Galvanized Stainless Steel Valves & Vault Detail Separate Valve Vault: Yes Inlet Diameter: Inches Outlet Diameter: Inches Heat Tape & Insulation: Yes Minimum Outside Temperature Degrees (F) Bypass Connection: Yes Inches Swing Check Valve: Manufacturer: Model: Diameter: Inches Isolation Valve: Gate Valve Plug Valve Ball Valve Manufacturer: Model: Diameter: Inches Flow Meter: Yes Manufacturer: Model: Diameter: Inches

Product Design Worksheet - Apptech · PDF fileProduct Design Worksheet ... Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees ... Yes Dia. Inches

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Page 1: Product Design Worksheet - Apptech · PDF fileProduct Design Worksheet ... Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees ... Yes Dia. Inches

© 2014 AppTech Solutions apptech-solutions.com APPTECH Project No.:______________ Page 1/3

Product Design Worksheet CENTURY V-Series Pump Stations

Email completed form to: [email protected]

Please provide as much information as possible for accurate design and quotation. Available configurations will vary with Wetwell Diameter and Pipe Size.

*Inlets may be installed by contractor on-site to match existing invert and angle of sewer system. Availability varies by sewer pipe material and diameter.

Project Information RUSH REQUEST:

Date: Respond By Date: Site Drawings Available: Yes, please

attach Specifications Available:

Yes, please attach

Project Name: Funding: Regulatory Agency:

Project City: State: Project Zip Code:

Design Status: _______% Complete Permitted Approved Deliverable: Preliminary Budget Final Design Documents Quote

Power Supply Available (Voltage, Phasing, Hertz):

Submersible Pump Detail

Pump Type: Sewage Grinder Effluent Non-Clog Other Pump System: Simplex Duplex Other ________________

Manufacturer/Model: Chord Length: Feet

Impeller Type: Min. Solids Handling: Inch Min. Motor Horsepower: HP

Max. Pump Speed (Constant): RPM Discharge Size: Inch

Design Discharge Rate: GPM Design Total Dynamic Head: Feet

Wetwell Detail (Reference Plan & Elevation Views)

Top of Structure: Feet Finish Grade:

Feet Daily Volume: GPD Peaking Factor:

Wetwell Diameter: 4 ft 5 ft 6 ft 7 ft 8 ft 10 ft 11 ft Wetwell Height (Max. 55 feet): Feet

Water Table Elev.: Feet Anti-Buoyancy Safety Factor (1.25 Min.): Emergency Storage Rqd: ______ Hours or ______ Gallons

Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees

Discharge Piping: Common Discharge Piping: Yes No Centerline Distance from Wetwell Centerline: Inches

Valve Vault Drain: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees

Inlet No. 1 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees

Inlet No. 2 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees

Inlet No. 3 Piping: Diameter: Inches Invert Elevation: Feet Material: Angle: Degrees

Field Install Inlets*: Yes Inlet Drop Pipe(s) Required: Yes Hopper: Yes Hopper Slope (Rise/Run): 1/

Access Hatch: Manufacturer: Model: Water Tight:

Yes

Access Hatch: Length: Inches Width: Inches Lift Assist: Yes Fall Protection:

Yes

Vent w/insect screen: Yes Style : Gooseneck Mushroom Diameter: Inches Height: Inches

Debris Basket: Yes Guiderail Material Type : Galvanized Stainless Steel

Valves & Vault Detail

Separate Valve Vault: Yes Inlet Diameter: Inches Outlet Diameter: Inches

Heat Tape & Insulation: Yes Minimum Outside Temperature

Degrees (F)

Bypass Connection:

Yes Inches

Swing Check Valve: Manufacturer: Model: Diameter: Inches

Isolation Valve: Gate Valve Plug Valve Ball Valve

Manufacturer: Model: Diameter: Inches

Flow Meter: Yes Manufacturer: Model: Diameter: Inches

Page 2: Product Design Worksheet - Apptech · PDF fileProduct Design Worksheet ... Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees ... Yes Dia. Inches

© 2014 AppTech Solutions apptech-solutions.com APPTECH Project No.:______________ Page 2/3

Please use the following schematics to annotate critical elevations, sizes, and materials.

Electrical Power, Instrumentation & Controls Detail

Control Panel Required: Yes, please attach control specifications Pressure Transducer Stilling Well: Yes Dia. Inches

Pressure Transducer Required: Yes Manufacturer/Model: Chord Length: Feet

Float Switches Required: Yes Manufacturer/Model: Chord Length: Feet

Applicable Float Switch Functions: Low Water Alarm Pump Off Lead On Lag On High Water Alarm Emergency High Water Alarm

Controls Junction Box Location: Mounted to Top of Wetwell Mounted off of Wetwell requiring Penetration; Depth _________ Inches

Electrical Power Junction Box Location:

Mounted to Top of Wetwell Mounted off of Wetwell requiring Penetration; Depth _________ Inches

Notes (Design Assumptions, Challenges, Constraints, etc.)

Contact Information

Name: E-mail:

Company: Phone:

Address: Fax:

Product Design Worksheet CENTURY V-Series Pump Stations

Email completed form to: [email protected]

Page 3: Product Design Worksheet - Apptech · PDF fileProduct Design Worksheet ... Discharge Piping: Diameter: Inches Invert Elevation Feet Angle (Plan View): 0 Degrees ... Yes Dia. Inches

© 2014 AppTech Solutions apptech-solutions.com APPTECH Project No.:______________ Page 3/3

Product Design Worksheet CENTURY V-Series Pump Stations

Email completed form to: [email protected]