Apartment Water Management Company . WATER SURVEY
Name of Complex
Year Built
Owner of Complex
Address of Complex
Name of other Complex’s owned
Number of units in Complex
How many floors in Complex
Elevator
Yes
No
Have there been any bathroom retrofits since C.O.?
Yes
No
Number of each in Complex
Bathrooms
Toilets
Showers
Sinks
Current Toilets Gallons Per Flush (GPF)
Current Shower Heads Gallons Per Minute (GPM)
Current Aerators Gallons Per Minute (GPM)
Are toilets round or elongated?
Round
Elongated
Toilet Color
Are the sewer pipes underground Cast Iron or PVC?
Cast Iron
PVC
Are there chronic sewer backup problems?
Yes
No
Is there a Swimming Pool and/or Lawn Sprinkler System in the Complex?
SP
LSS
Is the entire building metered separately?
SP
LSS
Are they metered separately?
Yes
No
Current Occupancy Rate (in percent):
Are individual clothes washers used?
Yes
No
Is RUBS used?
Yes
No
Unit Mix
Name of Billing Authority
Please attach copies of all Water and Sewer Bills for last three (3) months.
1st
*
2nd
*
3rd
*
Name of contact person
Phone
Email
*
Date / Time
Date
Time
Message
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