and sstencercielonncuA separate request should be submitted for each locationPublic Fire Flow Tests and Private Fire Flow Testsx0000x00002 xMCIxD 0 xMCIxD 0 5 Fire Flow Test FeePrivate fire flow te ID: 891294
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1 Town of Elon Fire Flow Test Application
Town of Elon Fire Flow Test Application Procedure and Fee 1. Performance and Location of Fire Flow TestA fire flow test is performed on a pair of hydrants one hydrant acts as and s stencer@ci.elon.nc.u A separate request should be submitted for each location.Public Fire Flow Tests and Private Fire Flow Tests ��2 &#x/MCI; 0 ;&#x/MCI; 0 ;5. Fire Flow Test FeePrivate fire flow tests will be witnessed by the Town of ElonIf a new public fire flow test is requested, the Fire Flow Test Feeis $1,200If multiplehydrant numbers, direction of flow, or locations are requested, a Fire Flow Test Feewill apply to each test.Payment of Fee(Prior to TestSend a check to: Town of ElonPO Box 1179Elon, NC 27244Delivercheckto:Town of Elon Municipal Building104 S. Williamson AvenueElon
2 , NC 2724 Check should be made payable t
, NC 2724 Check should be made payable to the "Town of Elon" and include “fire flow test fee” in the memo section.Fire Flow Test ResultsIf the Towndata from a recent test that was performed in the vicinity of your site, we will provide you with those results within business days.Upon request, the Town will provide copies of existing recent fire flow tests (conducted within the past three years and within 2000 LF of the project site).If a new private test is requested, it will be scheduled after a old armless Formhas been received by the Public Works Department. The test will be conducted and the resultswill be providedwithin two weeks. If a new public test is required, it will be scheduled after the Town has received the Fire Flow Test Fee. The test will be conducted and the re
3 sults will be provided within two weeks.
sults will be provided within two weeks.Fire Flow RetestsThe Townwill rerun a test, free of charge, if there is an internal issue within the Townon the day your fire flow test was performed (including but not limited to closed valves and equipment failures).The Fire Flow Test Feewill be assessed for any other repeatfire flow requests.Fire Flow Retest ResultsResults will be sent via email within business days of a fire flow request or within 10 business days of a new fire flow test being performed.The results provided represents flows and pressures at one specific time. These parameters constantly fluctuate. Designers should use appropriate factors of safety when using this information for design purposes. ��3 &#x/MCI; 0 ;&#x/MCI; 0 ;If you have additional questi
4 ons, pleasecontact Donnie Wood, Public W
ons, pleasecontact Donnie Wood, Public Works Director5849600or Sean Tencer, Town Plannerat (336) 5842859 Fire Flow Test Application Date:Applicant Name: E-mail address:Company Name:Street Address: Contact Phone #:Project name:Address of Project (if applicable):Owner’s name (if not applicant):Parcel ID#: GPIN#:Project Location Description (including names of adjoining and cross streets):Private Fire Flow Test? _______ (yes/no)Print: __________________________________ (Owner or owner’s representative)Signature: ____________________________________________ (Owner or owner’s representative) Hold Harmless FormDate:Town of Elon Municipal Building104 South Williamson AvenueP.O. Box 595Elon, N.C. To Whom It May Concern:On behalf of _____________
5 _________(owner)I grant permission to __
_________(owner)I grant permission to _____________________ (company/applicant)to perform a fire hydrant flow test on private fire hydrants at _______________________(location)for fire flow case number ___________________as assignedby Town of Elon on _________________(date)Furthermore, (owner)indemnifies and holds harmless the Town of Elon from any damages to persons or property resulting from said test.I acknowledge that the results provided represents flows and pressures at one specific time. These parameters constantly fluctuate. Designers should usappropriate factors of safety when using this information for design purposes. Sincerely,Printand Sign: ____________________________________________________ (Owner or owner’s representative