Hydrant Permit application – Development Services

[h3] Applicant information

Applicant information

Responsible Party *

Business/organization name (if applicable)

Address of Responsible Party *

City *

State *

ZIP code *

Phone number of the Responsible Party⁠ *

Email address of the Responsible Party⁠ *

Position of the Responsible Party, regarding property ownership *

[h3] Hydrant use information

Hydrant use information

Application type *

Construction activities
Special event
Urban garden
Commercial swimming pool

Description of the hydrant location, relative to the nearest address or intersection *

Hydrants in the center of a block should be denoted by direction and a rough estimate from another reference street.
Examples: “Southeast corner of Thompson & Mascher”; “The hydrant is on the east side of the 300 block of Broad Street, 75 feet from Chestnut”; “In front of 325 S Broad St.”

Map screenshot with hydrant location marked

Drop a pin on a google map at the location of the hydrant you are requesting to be permitted.
Be exact with the pin drop as possible, in many cases there are multiple hydrants in one area.
Screenshot the google map (.jpeg) with surrounding streets visible to provide a reference of the location. Do not send a picture of the hydrant in street view.
Upload the screenshot here.

Date range of permit *

From

[h3] Garden information

Garden information

Name of garden *

Garden address *

ZIP code *

Name of property owner, as stated on deed *

Does the location have a metered water service? *

Are there visible hydrant problems or defects? *

[defects message]

If Yes, please call (215) 685‑9641 as soon as possible to report defects.

What type of locking device is on the top of the hydrant?

3-sided nut
Round nut

Are the hydrant and garden on the same side of the street? *

Distance from hydrant to garden *

feet

What is the approximate square footage of the area to be gardened?

square feet

Estimated minutes per day of water usage (average/typical)

minutes

Is the parcel used for any other purposes? *

How else is the parcel used?

Brief summary of how the proposed garden will be a benefit to the surrounding community

[h3] Wrap-up

Wrap-up

Required equipment

If your permit request is approved by PWD, we will provide you with information about approved backflow prevention equipment needed to safely use the hydrant indicated, including backflow prevention equipment and pieces required for a 3/4″ connection to the hydrant.

3/4” back flow preventer
Hydrant adapter 3/4” X 4”
Standard Hydrant wrench
3/4” shut off valve
A few 3/4” X 4” nipples
3/4” garden hose
Pipe tape

Backflow prevention *

You will need to provide proof that proper backflow prevention equipment has been acquired. A permit will not be issued without proof of the necessary backflow preventer.

I understand I will need to acquire and use an appropriate backflow prevention device and additional equipment needed for a 3/4″ connection to the hydrant, and will need to provide proof I have one before the permit will be issued.
I have already acquired a backflow preventer and additional equipment needed for a 3/4″ connection to the hydrant, and can provide proof now.

Proof of appropriate backflow preventer

This is not necessary to submit the request, but you will be required to acquire proper backflow prevention equipment before the permit will be issued.
If you already have one, you can upload a date/timestamped digital photo here.

[divider]

Agreement *

I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein, I am subject to such penalties as may be prescribed by law or ordinance.