Hydrant Usage Report Form

Iredell Water Corporation



Hydrant Usage Report for Fire Departments


Complete the following information regarding any water used from an Iredell Water owned hydrant. Hydrant usage must be completed and submitted within twenty-four (24) hours of hydrant usage. Include all water used from any other attending Fire Department also.

Contact Name*
:
Contact Number
:
Email Address*
:
Fire Department
:
Location of hydrant(s) used (Include Street & cross Street. Also include Hydrants(s) ID if available)
:
Date of hydrant usage
:
Start Time (24 hr)
: :
End Time (24 hr)
: :
Reason for hydrant usage (Structure Fire, Grass Fire, Training Burn, etc. & location of usage
:
Estimate of Total Gallons Used
:
Additional Information or notes
:
   
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