Fillable Town of Elon - Fire Flow Test Application

Fill Online, Printable, Fillable, Blank Town of Elon - Fire Flow Test Application Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Town of Elon - Fire Flow Test Application

On average this form takes 6 minutes to complete

The Town of Elon - Fire Flow Test Application form is 5 pages long and contains:

  • 1 signature
  • 0 check-boxes
  • 20 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Town of Elon - Fire Flow Test Application Procedure and Fee
1. Performance and Location of Fire Flow Test
a. A fire flow test is performed on a pair of hydrants – one hydrant acts as the residual
hydrant and one act’s as the flow hydrant.
b. Unless specified in the fire flow request, the Town will designate the hydrant closest to
the site as the residual hydrant.
2. Requests for Fire Flow Tests may be made by:
a. Engineering firms that design water systems for new development.
b. Firms that design fire protection systems for buildings.
c. Firms that design landscape irrigation systems.
d. Individual property owners or entities.
3. Applications for Fire Flow Tests are to be made as follows:
a. Four weeks before you need the results.
b. Complete the request form and send it via e-mail to Pamela DeSoto, Assistant Town
Manager/Planning Director at pdesoto@elon.gov.
c. A separate request should be submitted for each location.
4. Public Fire Flow Tests and Private Fire Flow Tests
a. Public tests: Public tests are tests which are conducted using hydrants located within
the public right-of-way. Only the Town of Elon (hereafter “Town”) or its representative
may conduct fire flow tests on the town’s public water system.
b. Private tests: Private tests are conducted using hydrants that are on a private water
system. The property owner or authorized agent is responsible for conducting the
test. However, a Fire Flow Application is required so that the Town or its
representative can arrange to witness the test. Any private fire flow test conducted
without being witnessed by the Town or its representative is a violation of this Town
procedure.
2
5. Fire Flow Test Fee
a. Private fire flow tests will be witnessed by the Town of Elon.
b. If a new public fire flow test is requested, the Fire Flow Test Fee is $1,200.
c. If multiple hydrant numbers, direction of flow, or locations are requested, a Fire Flow
Test Fee will apply to each test.
6. Payment of Fee (Prior to Test)
a. Send a check to: or
Town of Elon
PO Box 1179
Elon, NC 27244
Deliver check to:
Town of Elon Municipal Building
104 S. Williamson Avenue
Elon, NC 2724
b. Check should be made payable to the "Town of Elon" and include “fire flow test fee” in
the memo section.
7. Fire Flow Test Results
If the Town has data from a recent test that was performed in the vicinity of your site, we
will provide you with those results within 10 business days.
a. 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).
b. If a new private test is requested, it will be scheduled after a Hold Harmless Form has
been received by the Public Works Department. The test will be conducted and the
results will be provided within two weeks.
c. 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 results will be provided within two
weeks.
8. Fire Flow Retests
a. The Town will rerun a test, free of charge, if there is an internal issue within the Town
on the day your fire flow test was performed (including but not limited to closed valves
and equipment failures).
b. The Fire Flow Test Fee will be assessed for any other repeat fire flow requests.
9. Fire Flow Retest Results
a. Results will be sent via email within 10 business days of a fire flow request or within 10
business days of a new fire flow test being performed.
b. 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
If you have additional questions, please contact Donnie Wood, Public Works Director, at
(336) 584-9600 or Pamela DeSoto, Assitant Town Ma
nager/Planning Director, at (336) 584-2859.
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)
click to sign
signature
click to edit
Hold Harmless Form
Date:
Town of Elon Municipal Building
104 South Williamson Avenue
P.O. Box 595
Elon, N.C. 27244
To Whom It May Concern:
On behalf of ______________________ (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 assigned by 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 use
appropriate factors of safety when using this information for design purposes.
Sincerely,
Print and Sign: ____________________________________________________
(Owner or owner’s representative)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Town of Elon - Fire Flow Test Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 9 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document