1. Contact information:
Name: Address: City: State/Prov.: PostalCode: Country: Phone: Email: Please re type your email address:
2. Type of water pumping system
Is this pumping system for domestic use or for a stock watering application? Other Domestic Live Stock If for domestic use, how many full time residents are there in the household?
If for a stock watering application, how many head? What type of livestock (cattle, horses, sheep, chickens, goats, llamas, etc.) will you be watering?
3. Location
Where is this system going to be located (city/state/country or latitude & longitude)?
4. Energy source Are you looking to install a solar, wind or hybrid pumping system? Your site must have unobstructed exposure to the sun for a solar pumping application or at least 10-12 mph wind speed on average for a wind powered pumping application.
5. Water source
What is your water source? other well pond/lake stream spring Do you know how much it produces in GPM (gallons per minute)?
6. Developed well information
What is the inside diameter of your well casing in inches? What is the total depth of the well in feet? What is the static water level from the ground in feet? What is the draw down level from the ground in feet?
7. Water pumping requirements
Will this pumping system need to push water to a tank/cistern located above your water source yes no If yes, what is the linear distance in feet? What is the difference in elevation between the water source and tank/cistern in feet? What is the storage capacity of this tank/cistern in gallons?
8. Supply line
Do you already have a pipe installed connecting the water source to your tank/cistern? yes no If yes, what size in inside diameter in inches is it? What material is the pipe made of? Other Poly PVC Steel
9. Periods of use
Will this solar water pumping system be used year round or seasonally? year round seasonally occasionally
Please list in the table below the estimated gallons of water per day needed for each month
10. Existing equipment:
Do you already have a pump installed in this location? Yes No If so, please describe what type of pump it is (manufacturer, model number, AC or DC, operating voltage & amperage, years installed, etc.)
11. Other information:
Please give us any other information that may help us to properly design this water pumping system to adequately meet your needs.
12. Where did you hear about Oasis Montana?
Oh yeah, to try and avoid all the spam bots from attacking this form, please enter the color of this text (in lower case) in the following box. (Hint: It's the opposite of white)
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