Design Your Lift Station and Request a Quote

Too busy to fill in the form? Just give us a call! 1-541-496-9678

PART 1 & PART 2: ALL INFORMATION IS NECESSARY. Required information is marked with *. Note: If true elevations are not known, use assumed elevations. Please note this in "Additional Information" at bottom of form.

PART 3: OPTIONAL INFORMATION IS HELPFUL, BUT IS NOT REQUIRED AT THIS TIME. Please provide as much of this information as you can.

WHEN FINISHED: click the 'SUBMIT' button at the bottom of the form. If you have questions, please call or email Romtec Utilities. Business hours are Mon. - Fri., 7:30 am - 4:30 pm Pacific.

PART 1: PROJECT CONTACT INFORMATION

Today's Date:
Company/Agency:
Company/Agency Type:
First Name: *
Last Name: *
Title:
Email Address: *
Address: *
City: *
State/Province: *
Zip Code: *
Country:
Telephone: *
Phone Ext:
Mobile/Other Phone:
Fax:
Project Name: *
Your Client for this project is:
Project Type: *
Project City:
Project Zip:
Project Engineer:
Reviewing Engineer/Agency who reviews/approves station design:
Final Project Owner and/or Operator:
Governing Sewer or Water Authority:
Does Authority have a lift station standard?
Who should Romtec contact about the lift station design standard?
What is the Expected Project Bid Date?
Project Completion Date:

PART 2: DESIGN DATA

If using assumed elevations, note this in Additional Information.

1.	Force main length:	ft. (actual length along proposed alignment)
	Force main diameter (inside):	in. inside dia.
	Force main material (i.e., PVC C-900 class 150, ductile iron class 52, HDPE DR17 class 100, etc.):
	Force Main is:
2.	Elevation change from lift station site to force main discharge point:	ft.
	Finish grade elevation at wet well:	ft.
	Discharge piping elevation at valve vault:	ft.
	Force main discharge elevation:	ft.
3.	Influent sewer elevation:	ft.
4.	Peak design flow (maximum flow to lift station):	g.p.m.
5.	Standby generator requirement:
	Standby generator fuel:
6.	Available power supply:
	Additional loads on site (besides the lift station) to be powered by generator:	KVA
7.	Electrical controls weather protection:
	Weather protection structure is for:

PART 3: OPTIONAL INFORMATION

Please provide as much information as you can.

8.	Is site plan drawing available at this time?
9.	Is force main plan/profile drawing available at this time?

Note: You will be asked to email these drawings to Romtec Utilities after submitting the form.

Click Here to provide additional optional information.

10.	Continuously ascending force main?
11.	If no, is air vacuum release valve required?
12.	Elevation at highest point in force main:	ft.
13.	Bends in force main alignment (quantity of each):	22.5 ° 45° 90°

14.	Force main discharge point is:
15.	If discharge is to another force main, list that force main pressure at discharge point:	min.psi. max.psi.
16.	Lift station inlet pipe type (i.e., PVC C-900 class 150, ductile iron class 52, HDPE DR17 class 100, etc.):
17.	Lift station inlet pipe nominal diameter:	in.
18.	Average day flow to station-dry weather:	g.p.m.
	Average day flow to station-wet weather:	g.p.m.
19.	Wet well interior lining/coating (select one): or Specify lining or coating product:
20.	Wet well exterior coating (select one): or Specify coating product:
21.	Valve vault options (check all that apply):	Pumping/pigging port Ladder Floor drain to wet well Sump pump to (specify discharge point)
22.	Metering vault options (check all that apply):	Flow metering is not required Pumping/pigging port Ladder Floor drain to wet well Sump pump to (specify discharge point)
23.	Does the Governing Authority have a lift station controls design standard?
	If yes, provide details on controls standard:
24.	Do you or the Governing Authority have a standard for liquid level sensors?
	If yes, provide details on level sensors:
25.	Project traffic load:
26.	Additional Information - Please provide any other information about the project:

Thank you for providing this information. After completing the form, please click the 'SUBMIT' button to transmit the form to Romtec Utilities.

After clicking the 'SUBMIT' button, you should receive the "THANK YOU. MESSAGE HAS BEEN SENT." message.

If you receive the "ERROR. MESSAGE WAS NOT SENT." message, please fill out the part of the form that is indicated as incomplete and resubmit the form.

Romtec Utilities will work with you to specify the lift station to meet your project needs. Within one business day, you will receive a confirmation email indicating that the form has been received and is being reviewed by the Romtec Utilities staff. You can expect to receive a telephone call, shortly following receipt of this email, to confirm the information you have provided and discuss the project.

Additional questions can be directed to 541-496-9678 or info@romtecutilities.com.

If site plan and/or force main plan/profile drawings are available, please e-mail these files in AutoCAD DWG (preferred) or PDF. You will be asked to e-mail these after clicking 'SUBMIT'.

Click 'SUBMIT' to send the Design Form.

Wastewater

Stormwater

Industrial

Request a Quote

View Video

ROMTEC UTILITIES, INC.
18240 North Bank Rd.
Roseburg, OR 97470

Phone:
541-496-9678
Fax: 541-496-0804

Office Hours:
7:30am-4:30pm M-F (PDT)

Romtec Utilities: Pre-Engineered Lift Stations for Wastewater, Stormwater, & Industrial Pump Applications. 541-496-9678