Temporary & Emergency Water Systems   PumpChamber

 
 

Please complete this form to the best of your abilities. We realize you will not have all the answers, but this will give us a good base line to design a system to fit your Wants, Needs, Space And budget. If you have any questions please feel free to contact us. All information is strictly confidential.

This form can be used to request personalized information for the Well Manager system for low yield wells.  For information regarding Herculan ConstaBoost systems for inadequate pressure from municipal connected systems, click here.

Name:
Address:
City:
State/Province:
Zip:
County:
Home Phone:
Work Phone:
Email Address:
Prefer contact by:
Best number to use:
Best time to call:

What problems are you having with your plumbing system?


What attempts have been made so far to correct this problem?


What would you like to be able to do in and out of your home?


Total occupants in house:

Number of Adults
Number of teens:
Number of children under 12
Number of elderly:
Number of bedrooms:
Number of bathrooms:

Do you have any high volume plumbing fixtures in your home like: Whirlpools
Multi-head shower systems   Others:

Do you have overnight guests if so how many and how often ?

Do you want to be able to use water outside of the house?
If so for what purpose:

Do you have an in ground irrigation system?
If yes, how many heads are on the largest zone?

Do you have a pool?

Do you have any water treatment/filtration equipment?
If so what type of equipment
What water quality issues are there?


Diameter of your well:
How deep is the well:
What is its yield:

Static water level:
Do you have more than 1 well? If so how many:

What depth is the pump set at in well 1?
Pump Depth in 2nd well

What is the make and model number of the pump in well 1?

What is the make and model number of the pump in well 2?

How far is well 1 from the house?
How far is well 2 from the house?

Where is the pressure tank located?

What is your pressure switch set for 20/40 , 30/50 , 40/60 ?

Are there any yard hydrants between the pressure tank and the well?


Where did you plan to install the Well Manager?  Other:

What is the dimension of the smallest doorway between outside and this space?

How much room do you have for a Well Manager?

Do you plan on installing the Well Manager yourself or hiring a contractor?

Do you have room in your electrical box for more breakers?

I am looking for a solution that costs: $1,000 - $2,000 $2,000 - $3,000 $3,000 - $5,000 $5,000 - $7,000

Do you have any questions or comments not addressed above?

   


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