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Fire Dept Use of Hydrant Application

If you are human, leave this field blank.

SPMRM - Water Utility Permit # (Required if hydrant used by other than Sun Peaks Fire & Rescue)

Fire Truck at Hydrant *

E1

E2

E3

Mountain Rescue

No truck used

Hydrant Number *

Start Date (MM/DD/YY) and End Date (If different)

Time Period of Use (HH:MM)

The Utility is looking to see how long the water was flowed in order to confirm usage volumes

Fire Dept Personnel entering Flow Information (Name) *

Reason for use *

Practice

Incident

Other

Reason for use if other

Hydrant Winterized (needed from Sept 1 to Apr 30)

Yes, hydrant winterized

No, hydrant not winterized

If not winterized, please advise why.

If hydrant not winterized, why

Hydrant Meter

Used

Not Used

Start Reading (if hydrant meter used)

Stop Reading

Volume of Water Used (Estimate - Indicate USG or M3) *

Please note which port was used? 2.5 or 4"

Backflow Preventer used

Yes

No

Usage Comments (please describe any issues with operation of hydrant or quality/quantity of water) If there is an issue, please call 250-319-0629.

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