SwampWorksheet

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Department of Public Works
Swamp Analysis Worksheet

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Fields marked with red * must be entered

BACKGROUND INFORMATION

Date:

Response Required By:

From:

Subject:

OPZ Status:

Project Number:

PYYYY-XXXX where YYYY is year and XXXX is a 4 digit number.

Permit Number:

BXXXXXXXX where B is Building or G is Grading and XXXXXXXX is an 8 digit number.

Subdivision Number:

SYYYY-XXX where YYYY is year and XXX is a 3 digit number.

ProjectSize:

Lots SQF

Size of Site:

Acres Zoning

200 Scale Map:

ZXX where Z is any letter and XX is a 2 digit number

Tax Map:

Block:

Parcel:

Water Master Plan change Required:

Yes No

Sewer Master Plan change Required:

Yes No

FLOW CALCULATION

Project Type:

Location:

Calculate Flow Based On:

Use Zoning

(Calculate primarily by use. If use is not known then use zoning.)

CALCULATE FLOW BASED ON USE
Facility Description - Units	Quantity

REQUESTED WATER ANALYSIS

Water Service Area:

Max FF Elev

Maximum First Floor Elevation within the project:

feet.

Fire Flow Requirement:

GPM

Water Connection Point(s):

FH " Size of Connecting Main

Other Projects Affected or Required to Complete:

Commits or Concerns:

REQUESTED SEWER ANALYSIS

Sewer Service Area:

Sewer Connection Point(s):

Other Projects Affected or Required to Complete:

Commits or Concerns: