Assessment Form

    Primary Contact

    Homeowner

    Restoration Inspector

    Plumber

    Installation will be

    If Outdoor, LDS must be housed in a protective enclosure 18" above grade.

    Plumber providing protective cover?
    Water Source
    Relays needed for pump
    Pipe Size where installed
    Pipe orientation where installed
    Direction of water flow
    Secondary structures plumbed from the main
    Will second LDS be required for secondary structure?
    Pipe Size where second LDS will be installed

    Panel & Power (discuss with homeowner)

    Control Panel should be installed 50' or less from the valve.

    Connecting to the web-based app?
    Connecting to a security system?
    Outlets available for the valve and panel?
    Electrician needed?
    Please explain the electrical work that will be required

    Water Features (check all that apply and provide details)

    Irrigation?
    LDS installed after irrigation?
    Hose bibs?
    LDS installed after hose bibs?
    Fire Sprinkler?

    LDS must be installed after fire sprinkler.

    Pool/Hot-Tub?
    How is the pool/hot-tub filled?

    Put the Leak Defense System in Standby Mode when manually filling a pool

    LDS installed after pool/hot-tub?
    Irrigation timer to be added?
    Pond/Fountain?
    How is the pond/fountain filled?
    LDS installed after pond/fountain?
    Expansion tanks?
    Central boiler?
    Central boiler has low water cutoff?
    Radon bubbler?

    LDS must be installed after radon bubbler.

    Water mister?
    Humidifiers?
    LDS installed after humidifiers?
    Filter/Softener?
    LDS installed after filter/softener?
    Cartridge or regenerating?
    Recirculation pump?
    Circ pump switch needed?
    Circ pump hardwired or plugged in?
    Standalone ice machine?
    Reverse osmosis?
    Reverse osmosis monitored by LDS?
    Reverse osmosis whole house or under counter?

    LDS cannot be installed before whole house RO. Please call to discuss options: Split System / Install After.

    Point of Leak Detectors (POLDs)