Manhole Request Form

Reference above dimensions to fill in fields below.

Call us at 413-397-3412 if you have any questions.

Manhole Type

Total Height Requested (In Inches)

Measured as bottom of base to top of cast iron or top of concrete (if no cast iron required).

Inlet Diameter (In inches)

Maximum I.D. = 18 inch

Inlet Height Requested (In inches)

Measured as top of cast iron to bottom of pipe

Outlet Location(s) (In degrees- btn. 0-360)

If outlet(s) required, please specify approximate degree location from spec sheet (assuming inlet is at 0 deg.)

Outlet Diameter(s) (In inches)

Maximum I.D. = 18 inch. If multiple outlets, please specify diameter at each (ex. 8 in. @ 90 deg., 12 in. @ 270 deg.).

Outlet Height(s) (In inches)

If multiple outlets, please specify height at each (ex. 54 in. @ 90 deg., 58 in. @ 270 deg.).

Cast Iron Frame

Cover

Cast Iron Height (select one in dropdown)

Timeline

Date Requested (if known)

Customer / Company Name

Contact Phone Number

Contact email address

Jobsite Address

Your Sunday Color*

Please review what you entered before you click the Submit button, and click it ONLY ONCE.