Step 1 of 8 12% Request for DesignProject Name*Requested Due Date MM slash DD slash YYYY Central Branch*Choose State & Branch LocationAL: OPELIKA-544CT: BRIDGEPORT-112CT: NORWALK-110CT: ROCKY HILL-111CT: STAMFORD-117DE: DELMAR-233DE: NEWARK-232FL: FREEPORT-351GA: ALPHARETTA-352GA: BUFORD-349GA: COLUMBUS-346GA: MARIETTA-347GA: NORCROSS-348GA: TYRONE-342GA: VALDOSTA-343GA: WARNER ROBINS-345IL: LOMBARD-476IL: WAUCONDA-477IL: WHEELING-478IN: SOUTH BEND-475KS: OLATHE-669MA: HYANNIS-108MA: NORTH BILLERICA-107MD: CROFTON-234MD: FREDERICK-236MI: COMMERCE-471MI: STERLING HEIGHTS-470MI: WYOMING-472MN: COON RAPIDS-660MN: EAGAN-650MN: PLYMOUTH-651MO: COLUMBIA-668MO: NIXA-665MO: ST. LOUIS-664MO: ST. PETERS-667NC: MONROE-353NJ: BLACK HORSE-142NJ: HILLSBOROUGH-131NJ: LAKEWOOD-138NJ: PISCATAWAY-140NJ: TOWACO-139NJ: WILLIAMSTOWN-141NY: BRIDGEHAMPTON-127NY: COPIAGUE-126NY: ELMSFORD-115NY: LATHAM-119NY: MAMARONECK-116NY: MOHEGAN LAKE-118NY: NANUET-130NY: NY EQUIPMENT-125OH: DUBLIN-473OH: N ROYALTON-474ON: CARP-84ON: CONCORD-83ON: SCARBOROUGH-81ON: TORONTO-80PA: WARMINSTER-137PA: WEST CHESTER-136QC: MONTREAL-85RI: WARWICK-109VA: STERLING-235BRANCH UNKNOWN Contractor InformationContractor Name* Name Contractor Account NumberPhone*Email* Are you a Central employee submitting on behalf of your customer?* Yes No Central Representative* Name Project & Design InformationHas the project been awarded to you or are you bidding the job?*Please Select One OptionAwardedBiddingPlease choose design type Head and Mainline Layout Full Design Please List Meter Size / POC / Location. If you do not know the size available, please tell us what you would like to use.Backflow Type.Please Select One Option(RPZ) Reduced Pressure Backflow(DCV) Double Check Valve Assembly(PVB) Pressure Vacuum Breaker(AVB) Atmospheric Vacuum BreakerOtherPlease Design as Needed Based On Job SizeIf GPM and Pressure are unknown, please type in "Please design as needed based on project"System Design - GPM*System Design - Pressure*Please List Backflow Type, Size, and Manufacturer PipeSleevingPlease Select One OptionSchedule 40Class 200Class 160OtherMainlinePlease Select One OptionSchedule 40Class 200Class 160100 PSI Polyethylene80 PSI PolyethyleneOtherLateralsPlease Select One OptionSchedule 40Class 200Class 160100 PSI Polyethylene80 PSI PolyethyleneOtherSpecial Requests Sprays / Rotors / DripDo your want Turf & Plant material separated?Please Select One OptionYesNoDo you want Drip or Sprays in the Plant Materials?Please Select One OptionDripSprayN/ASpecial RequestsTurf: Spray HeadsSpray Head ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerPop-Up SizePlease Select One Option4" Sprays6" SpraysPressure RegulatedPlease Select One OptionYesNoCheck ValvesPlease Select One OptionYesNoTurf: Nozzle TypeNozzle Type ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerStandard NozzlePlease Select One OptionYesNoRotary NozzlePlease Select One OptionYesNoSpecial RequestsRotorsRotor ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerPop-Up SizePlease Select One Option4" Commercial Turf Rotors6" Commercial Turf Rotors4" Sports Turf Rotors6" Sports Turf RotorsPressure RegulatedPlease Select One OptionYesNoCheck ValvesPlease Select One OptionYesNoPlease list nozzles sizesDrip for Plant MaterialDrip ManufacturerPlease Select One OptionHunterRainbirdToroNetafimDrip Emitter SizePlease Select One Option.4 GPH.6 GPH.9 GPHDrip SizePlease Select One Option12"18"Special Instructions Remote Control Valves & Isolation ValvesStandard Valve ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerDrip Valve ManufacturerPlease Select One OptionHunterRainbirdToroNetafimIsolation Valves - Line SizedPlease Select One OptionYesNoWould you like a Master Valve?Please Select One OptionYesNoQuick CouplerPlease Select One OptionYesNo Irrigation Controllers & Valve BoxesIrrigation Controller ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease specify manufacturerConventional Wire - Single StrandPlease Select One Option12 gauge - single strand14 gauge - single strand18 gauge - multistrandTwo-WirePlease Select One Option12-214-2Controller Features (Please check all that apply) Wall Mount Pedestal Rain Sensor Ethernet WiFi Communication Cellular Communication Moisture Sensor ET Based Controller Special RequestValve Box ManufacturerPlease Select One OptionDuraCarsonNDSOtherPlease specify manufacturer Project AssetsSpecial Instructions or Additional Relevant InformationFor questions or file sizes are lager than 10MB please email and send files to Design5@centraltis.comPlease submit all necessary documents Drop files here or Select files Max. file size: 128 MB. EmailThis field is for validation purposes and should be left unchanged.
