Aeration and Mixing Design Request Form

AERATION & MIXING PRODUCTS DESIGN REQUEST FORM

The accuracy and timeliness of design information provided is dependent on the information included in your request. Please furnish complete and accurate information whenever possible.
Date Required

MonthDayYear
Full Name*

First NameLast Name
Company Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Project Name*
Location
Elevation of Site

Feet Meters

enter data
Existing Aqua-Aerobic Installation

YesNo
Install Date

MonthDayYear
System Description
Description

MunicipalIndustrial/DomesticIndustrial*
*If industrial influent, from what industry?
Information Request
Requested Information

DesignBudget ProposalLayout DrawingSpecificationOther*
*Other
General Information on Basin
Choose Basin Type

New Construction Existing Basin(s)*

Type

	Feet	Meters
enter data

	New Construction	Existing Basin(s)*
Type

Choose Basin Type

	Circular	Rectangular	Square	Sloped**	Other***
Type

	Feet	Meters
Measurements in (select one)

	QTY	Dimension Length	Dimension Width	Volume	Min Side Water Depth	Max Side Water Depth	Freeboard
enter data

Basin Solids Concentration mg/L
Basin Material of Construction including Basin Floor

ConcreteEarthenLinedSteelOther*
*Other

For Existing Equipment (Aeration)

	Quantity	HP
Fine Bubble Diffusers
Coarse Bubble Diffusers
High Speed Surface Floating Aerators
Low Speed Surface Aerators
Brush/Disc Rotors
Directional Aspirators
Submersible Aerators
Other

For Existing Equipment (Mixing)

	Quantity	HP
Submersible Mixers
High Speed Surface Floating Mixers
Slow Speed Mixers
Directional Floating Mixers
Other (indicated above)

	MGD	m3/d
Max Month Avg Daily

	MGD	m3/d
Maximum Daily (MDF)

	MGD	m3/d
Peak Hourly (PHF)

	hrs/day	day/wk
enter data

MG/L

	Influent	Effluent
Summer Water Temp (C)
Winter Water Temp (C)

** TKN and NH3-N removal requires nitrification only
Choose Equipment & Mooring Options

Which Aeration & Mixing products are you interested in?
Aqua-Jet® AeratorAquaDDM® Direct Drive MixerOxyStar® Directional Aspirating AeratorTurboStar® Directional MixerOxyMix® Pure Oxygen Mixer
Float Construction (if Aqua-Jet®, AquaDDM®, or OxyMix®)

Stainless SteelFiberglass
Mooring (Provide basin details and water levels)

Cable Mooring*Restrained MooringPivotal Mooring
*Cable Mooring

3 Point4 Point
Measurement of Cable Mooring

Feet Meters

Measurements in
(select one)
*Cable Mooring - If it is known how much cabling is required

Amount

Total Cable Required
Hertz

50 Hz60 Hz
Voltage

460 Volts380 Volts208 Volts230 VoltsOther*
Biological Process Requirements: Fill in only the process pertaining to your basin application below.
Equalization Design
Check one

Pre-EQPost-EQ*

	Feet	Meters
Measurements in (select one)

	Amount
Total Cable Required

	Influent D.O. mg/L	Required Effluent D.O. mg/L
*For Post-EQ

Secondary Treatment
Choose Objective

Activated SludgeAerated LagoonAnaerobic MixingAnoxic MixingOther*
*Other
Digester/Sludge Holding Basin
Solids Content of Basin

1-2%3%4%
Cooling & Evaporation
For Cooling and Evaporation Basins, please provide site specific address for collecting weather data:
Site Address

	0 lb/day	O kg/day
*COD Removal

Diffused Aeration

	Number of Blowers	HP/Blowers NPHP	Airflow Rate SCFM	Airflow Rate m3/sec

Mixers

Number of Mixers HP/Mixer NPHP
Algae Control Objective

*Please fill out "General Information on Basin" section listed above.
Check box if applicable

Algae Control
Additional Information
Enter Information
Should be Empty:

AERATION & MIXING PRODUCTS DESIGN REQUEST FORM