Fire Flow Test Request Form

Boston Water and Sewer Commission

FIRE FLOW TEST REQUEST FORM

Engineering Customer Services

980 Harrison Avenue

[Please Use One Form per Request]

Boston, MA 02119-2540

(617) 989-7000

Information & Instructions:

1. For applicants requesting fire flow information from the Commission's hydrant flow test database, please complete PART I & II and mail or fax this form to the Field

Engineering Department (See Contact information below. No fees are required for the information request.

2. Applicants shall complete PART III to have a fire flow test performed. Please note that a check in the amount of $437.00 must accompany each fire flow request

Note: The Manager of Field Engineering will notify each applicant when the hydrant test information is available for pick-up.

Part I: GENERAL SITE INFORMATION

Applicant's Name

Applicant's Address

City/Town

State

Extended Zip

Project Name/Description

Project Address/Location

(Location where Fire flow test is to be conducted. Please provide street name and/or intersection)

Neighborhood (District)

Ward

Contact Numbers

W ork No.

Mobile No.

Fax No.

Part II: REQUEST FOR FIRE FLOW INFORMATION

Note: The Commission maintains a database containing hydrant flow test data and information obtained from previous tests conducted throughout the water distribution

system. Applicants may use this form to request information on file before requesting a Hydrant flow test.

Please provide all available fire flow information for the hydrant(s) identified on the attached GIS maps and noted below:

Please fax or mail all Request for Hydrant Flow Test Information to: Mr. Martin C. Taylor, Manager Field Service Engineer

Fax No.: (617) 989-7750

Note: No fees are required for Hydrant Flow Test information that is available on file.

Part III: REQUEST FOR HYDRANT FLOW TEST

Note: Each fire fow request form must be accompanied by a narrative letter. The letter shall provide a brief description of the fire flow information requested, and shall be

accompanied by a BW SC GIS map identifying the hydrant(s) to be tested.

Provide a brief description of the hydrant flow test requested:

All request for a Hydrant Flow Test must be mailed or hand-delivered to:

Engineering Customer Services

Attention: Mr. Frank M. McLaughlin, Manager Engineering Customer Services

Please Note: A Check in the amount of $437.00 must accompany each fire flow request. Please make Checks Payable to:

Boston Water & Sewer Commission

HFT-001

Last Rev:2/3/2015