HomeMy WebLinkAboutFire Hydrant Use Permit.pdf
City of Maple Ridge 11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7339 Fax: 604-467-7461 engineering@mapleridge.ca Rev June 2015 FIRE HYDRANT USE PERMIT Required Date(s): Time:
from to: Applicant: Address: Phone: Email: Location of Hydrant: Hydrant ID Number: CONDITIONS OF PERMIT: ___________ (Initial) USE OF HYDRANT ONLY PERMITS WATER MAIN COMMISSIONING AND
WATER MAIN FLOW TESTING: FIRE FLOW: ___________ (Initial) **APPLICANT TO SUBMIT FLOW TESTING RESULTS TO WATER WORKS SUPERINTENDENT FOR WATER MODELLING This permit is for the use of
the fire hydrant at the above mentioned location, date(s) and time only. The permit holder must provide and install an isolating valve and backflow preventer. (Available at local rental
outlets) **A COPY OF THE TEST CERTIFICATE FOR THE BACKFLOW PREVENTER DEVICE IS REQUIRED AT TIME OF APPLICATION. The City of Maple Ridge water distribution system contains chlorine.
The permit holder is responsible for the de-chlorination of any water discharged to sensitive areas such as but not limited to creeks, rivers, and the storm sewer system. De-chlorination
is normally achieved with the use of Calcium Thiosulfate or Ascorbic Acid (Vitamin C). The applicant is responsible for obtaining any permits necessary from the Ministry of Environment
when discharging water to sensitive areas. Repair costs will be charged to the applicant if the fire hydrant is damaged during the operation of this permit. The City is not responsible
for any property damage or general public damages during the use of this permit. INFORMATION ON THE USE OF FIRE HYDRANTS: 1. Open fire hydrant fully to allow isolating valve to control
flow. 2. Close fire hydrant down slowly and do not over tighten. 3. Do not put cap on hydrant until it is fully drained. (check for suction pressure) Person in charge: Signature: Date:
(print name) File: 09-4520-20 Receipt No: Approved by: