Needs Analysis Form

Please complete the following as thoroughly as possible. The information provided will help us meet your requirements with the appropriately sized aeration system.

(Note: Fields preceded by an asterisk * are required to be filled out)

PERSONAL INFORMATION

*Name:
*Email:
*Phone:
Fax:
*Address:

SIZE OF POND OR RESERVOIR
At Surface
Length (ft):
Width (ft):
Depth (ft):
Slope:
(eg 2:1, 3:1, 4:1)


If water depth fluctuates, what are the depths expected?
Minimum (ft):
Maximum (ft):
Average (ft):

ORIGIN OF WATER (choose all that apply)

RIVER	WELL	RUNOFF
SPRING	LAKE	RESERVOIR

USAGE OF WATER (choose all that apply)

DRINKING	HOUSEHOLD	INDUSTRIAL	SWIMMING
LIVESTOCK	IRRIGATION	FISHING	BOATING

	OTHER:

If a water analysis has been performed, please fill in the details below:

PROBLEMS (please give a brief description below.)

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