AquaDams Project Assessment Form

Please fill out the Project Assessment Form below. Click the "Submit Info" button when you are done.
You can leave any field blank but the more info you send us the easier an evaluation will be.

 

Company/Agency You Represent:

Your Name:

Mailing Address of Company/Agency:

City:

State or Region:

Zip Code:

Phone:

FAX:

Email Address:

How did you hear about us:

Your Project Name or Reference #:

Work to be performed:

Location of Project Worksite:

Bid Date for Project:

Installation Date for AquaDam:

Required Total Linear Footage:

Installation Conditions:

If Flowing what is CFS Volume:

Maximum Water Depth at Time of Installation:

Maximum Water Depth for Entire Project Life:

How will flowing water be passed around the worksite?:

If Using Other Method, Please Specify:

Surface Conditions at Worksite:

If Other Surface (or a Combination) then Describe:

Describe the Dirt/Mud/Sand Depth and Consistency:

Are There any Objects Present that
Could Damage a Dam? If so, Please Describe:

Are Slopes Present?:

If there are any Grades or Slopes,
Please Describe in Detail:

AquaDam Worksite Configuration:

Additional Notes or Comments:

By pressing "Submit", you agree to the following: Aqua Dam Inc's recommendations regarding AquaDam applications are dependent on application information provided by the Customer. The undersigned Customer representative hereby declares that, to the best of the Customer's knowledge, the information contained in this form is complete and accurate. The Customer Representative understands that, if actual field conditions prior to installation differ from those stated on the form, Aqua Dam Inc has the option to refuse to supervise the installation if the job cannot be performed safely. In the event that Aqua Dam Inc agrees to supervise an installation in circumstances other than those described on this form, or in circumstances which exceed the design limitation of the AquaDam, the Customer shall bear all liability for damages of any type sustained as a consequence of the installation and use of the AquaDam. Aqua Dam Inc. has not been to the site, so the contractor is solely responsible for the selection of the correct size AquaDam(s) for the site conditions during the course of the entire project.