Fillable Fixed Asset Evaluation (City of Hendersonville)

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Fixed Asset Evaluation (City of Hendersonville)

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U.S.A. forms for City of Hendersonville

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CITY OF HENDERSONVILLE
WATER AND SEWER DEPARTMENT
Project:
Location:
Developer:
Engineering Firm:
Engineer:
Contractor:
WATER
Mains
Size
6" 8" 10" 12" 16"
Material
DIP DIP DIP DIP DIP
Length, ft.
V
alves
Size
2" 4" 6" 8" 10" 12" 16"
Type
GV GV GV GV GV GV Butterfly
Number
3/4" 1" 1-1/2" 2" 3" 4"
Copper Copper Copper Copper DIP DIP
HDPE HDPE HDPE HDPE HDPE HDPE
Fire Hydrants (FH) 2" Blow-Off Air Release Valves (ARV)
No. No. No.
Hydro Pump Station(s)
$
Booster Pump Station(s) $
Water Storage Tank(s) $
Water System $
2" 4" 6" 8" 10"
Fixed Asset Evaluation
Number
Total Cost of Water Mains (not including pump station / tank)
Private Fire Protection
Size
Description
Number
Services
Size
Material
1
REVISED
03/19/2018
CITY OF HENDERSONVILLE
WATER AND SEWER DEPARTMENT
SEWER
8" 10" 12" 15" 18"
8" 10" 12" 15" 18"
4' 5' 6'
Concrete Concrete Concrete
Air/Vacuum
4" 6" 8" Release Valve
PVC PVC PVC
Size
2" 4" 6"
Material
HDPE HDPE HDPE
Total
Pump Station(s)
$
Sewer System
$
Signed: Date:
Copy forwarded to (date sent):
Finance Public Works Project File
Pressure - Length, ft.
Pressure - Length, ft.
Material
Mains - PVC
Size
Gravity - Length, ft.
Manholes
Diameter
Material
Size
Gravity - Length, ft.
CITY USE ONLY
Project Engineer or Developer
Services
Gravity - No.
Total Cost of Sewer System (not including pump station)
Pressure - No.
Description
Number
Size
Mains - DIP
2
REVISED
03/19/2018
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Fixed Asset Evaluation (City of Hendersonville)

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Completed 17 February 2021

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