Availability & Capacity Analysis Request

Name:(Required)

Company:(Required)

Billing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact telephone #:(Required)

Contact email address:(Required)

Project Information

Utility Type:(Required)

Sewer

Stormwater (Hartford only)

Water

$670 Admin Review Fee will be charged per utility. Select all that apply.

Location of proposed development (street address, Town):

Street Address Address Line 2 City

Project Description(Required)

Project Type:(Required)

Residential

Commercial/Industrial

Municipality/School

Select all that apply.

Lot Size:

Maximum elevation of the subject parcel:(Required)

Mean elevation of the subject parcel:(Required)

Residential

Type of Dwelling:

Single-Family house

Multi-Family house

Apartment

Townhome/condo

Select all that apply

Number of one-bedroom units:

Number of two-bedroom units:

Number of three or more bedrooms units:

Total number of bedrooms:

Total number of units:

Commercial/Industrial facility

Commercial/Industrial facility Type:

Office

Retail

Restaurant

Hotel

Manufacturing

Commercial/residential mixed use

Other

Select all that apply

Other:

Proposed size of facility (square feet):

If restaurant, number of seats:

If hotel, number of guest rooms:

If office, number of employees:

If industrial, list type:

Is irrigation planned?(Required)

Yes

Water and wastewater flow Rate Calculations

Estimated water usage flow rates calculated per DPH design flow guidelines:

Estimated water usage and wastewater flow rates. Flow shall not be calculated using fixture counts (CT Plumbing Code maximums).

Average volume per day (gpd):(Required)

Peak flow (gpm):(Required)

Other water uses and sources of wastewater within the planned development such as landscape irrigation, community buildings (kitchen, rest rooms and or locker rooms etc), swimming pools, HVAC equipment cleaning/blow down or fill cycles or other facilities:

Fire Flow Information

Is Fire Service Planned?(Required)

Yes

If yes, is flow rate per unit, building, etc:

Total Fire Flow Demand:(Required)

Provide per local and State building and fire prevention codes for fire flow requirements. Notably the NFPA Codes 1 and 13 and/or in conjunction with Insurance Services Office, Inc., 2014, Guide for Determination of Needed Fire Flow.

Sprinkler Zone demand (in gpm):

Provide the largest sprinkler zone demand for conditions that are new, existing, renovated, expanded, etc. including sprinkler zones (if part of a building expansion/renovation/addition) over the entire property/lot.

Sprinkler System Type:

Wet

Early Suppression Fire Response (ESFR)

Dry

Deluge

Select all that apply

Sprinkler System Valve Sizes:

Input size for each checked above

Standpipe(s): Flow in gpm:

Standpipe(s): Wet or Dry:

Wet

Dry

Hydrant Information

Hose allowance (in gpm):

The number of fire hydrants proposed within the project limits:(Required)

Flow rate needed and duration as calculated by the design engineer, NFPA 1, ISO 9001 (recommended), and/or as required or requested by the local Fire Marshal:

Number of hydrants off of the MDC distribution system:(Required)

Number of private hydrants:(Required)

Fire Pump Information

If a fire pump is required, provide the capacity (gpm):

Additional Information:

Attachments

Required attachments

DPH calculations per DPH design flow guidelines
Location map, site plan and location of future water and sewer services
An overall site layout drawing (24” x 36”) with contours.
Stormwater analysis report, if applicable

File:

Drop files here or

Accepted file types: pdf, doc, docx, xls, Max. file size: 75 MB.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country