Form 5 Design Of Pressure Dosing System - Department Of Health & Human Services
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1Department of Health & Human Services
Division of Environmental and Consumer Health Services
Making It Better, Together
FORM 5
DESIGN OF PRESSURE DOSING SYSTEM
1. Configuration of Distribution Network: Type of Manifold:
End
Central Distribution
Laterals: Number ______ Length, ft ________ Diameter, in __________
Tot. Lateral Vol (V
), gals______
1
Hole Diameter, in _______ Hole Spacing, in __________ Number of Laterals, n __________
2. Lateral Discharge Rate: Design Pressure Head at Distal End of Laterals (Hp), ft ______________
Hole Discharge Rate, Q, gpm ____________ Number of Holes per Lateral, n ______________
Lateral Discharge Rate, (Q x n) gpm _____________________________________
3. Manifold Length, ft _______ Manifold Diameter, in ________, Total Manifold Vol. (V
) ________
m
4. System Discharge Rate, gpm _______________
5. Dose Volume: Daily Volume of Sewage (Q), gpd ___________ Design Permeability, in/hr _______
or Percolation Rate, min/in _____________ Total Volume of Delivery Pipe (V
) ____________
p
Internal Volume of Distribution Network (V), (V
+V
+V
) _______ Dose Volume (V
) ________
p
m
l
d
6a. Pump Selection: Length of Delivery Pipe, ft __________ Diameter of Delivery Pipe, in ________
Friction Loss in Delivery Pipe (Hf), ft _____ Elevation of Dosing Tank Low Water Level ___________
Elevation of Lateral Invert ________________ Elevation Head (H
, ft ____________
e)
Total Operating Head (H
(H
+ Hf + H
), ft _______ Pump Model ____________________________
t),
p
e
Rated Horsepower _________ Pump Discharge Rate at Total Operating Head, gpm _____________
6b. Siphon Elevation: Diameter of Delivery Pipe, in ________ Length of Delivery Pipe, ft _________
Friction Loss in Delivery Pipe, Hf, ft __________
Velocity Head, Hn, ft ______
Total Operating Head (H
(Hp + Hf + Hn), ft _________ Elevation of Lateral Invert ____________
t),
Elevation of Siphon Invert ____________
7. I hereby certify that the information furnished on Form 5 of this application (and attachments thereto) is true and
accurate. I am aware that falsification of data is a violation of the Water Pollution Control Act (N.J.S.A. 58:10A-1 et seq.)
and is subject to penalties as prescribed in N.J.A.C. 7:14-8.
Signature of Professional Engineer _______________________________ Date _____/_____/_____
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