Site Survey

Complete all fields below — takes about 5 minutes

Prefer to fill out by hand?

Download the printable NOI Valve site survey form and return it to your rep.

Download PDF

Property / Company Name

What size is the main water line?

Are there multiple water meters?

Yes No Not sure

Any issues/complaints with the water pressure?

Yes No Not sure

What material is the plumbing line at the meter location?

PVC Cast Iron Copper Not sure

How many stories is the building?

Does the building have a booster pump?

Yes No Not sure

Does the building have a back flow?

Yes No Not sure

Does the building have a shut off valve after the meter (on the property side)?

Yes No Not sure

PSI at Meter (Before Backflow)

PSI at Property (After Backflow)

Pipe Material

Pipe Wall Thickness

Important directions for photos/pictures required:

Meter Size And Pipe Diameter Size At The End Of The Meter Confirmation Required
Flow Direction Of Your Water Is Required To Confirm — Arrows Usually Help Identify
Focus At the End/Outlet Of Meter — This Helps Us Determine Where The AquaFlow Valve Can Be Installed

Please take a photo of the water meter: Make sure the cap is open and you can see the actual digits on the face of the meter clearly

Please take a photo of the general areas of the water meter, 2 feet on either side.

Additional Photos (optional — shutoff valve, backflow, pipe infrastructure, etc.)

Please confirm you acknowledge that the information provided above does not have any fire system connected to the main water domestic feed Please confirm that there are no further changes or fixes to occur after the photos and site survey has been submitted (includes any backflow updates or meter swaps)

Survey Submitted By *

Site Survey

Company Information

Meter Details

Important directions for photos/pictures required:

Additional Details

Acknowledgements