Fire Flow Test Application Form - Anne Arundel County Maryland
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1FIRE FLOW TEST APPLICATION
DEPARTMENT OF PUBLIC WORKS
Technical Engineering/Planning Section
445 Maxwell Frye Road, Bldg A, MS-4264
Millersville, Maryland 21108
Request Date:
_____________________________
APPLICANT INFORMATION
Name/Company: ______________________________________________________________________________________
Address:
______________________________________________________________________________________
Phone:
__________________________________
Fax:
___________________________________
E-mail:
______________________________________________________________________________________
PROJECT INFORMATION
Name:
_____________________________________________________________________________________
(Project/Building/Business Name)
Site Address:
_____________________________________________________________________________________
Cross-Street(s): _____________________________________________________________________________________
Hydrant No.(s): _____________________________________________________________________________________
In addition to the above information, please submit a map with the application, including the project location,
closest cross-street(s) and fire hydrant(s), with hydrant numbers (if available). This map may be hand-drawn if
a printed map is not available.
This application and map may be either 1.) Emailed to
with a check in the amount of
$232.00 made payable to Anne Arundel County following via standard mail to the above address 2.) Faxed to
(410) 222-3693 with check following via standard mail or 3.) Submitted by standard mail with check enclosed.
The requested test will be processed upon application receipt. Test results will be provided upon receipt of
$232.00 fee.
Test results will be available within 3-4 weeks from the date of application receipt. However, during the winter
months, testing may be delayed due to inclement weather. If you have any questions, please contact Technical
Engineering at the number below.
H:\Data\DPW_Planning\countywide\water\fireflow\Fire Flow Request Info\FireFlowApp_20151104.doc
Revised 11/04/15
Phone: (410) 222-7077 Fax: (410) 222-3693 MS-4264
Web Site:
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