MECKLENBURG COUNTY
Fire Marshal’s Office
700 N Tryon St.
Charlotte, NC 28202
REQUEST FORM
FIRE HYDRANT FLOW TEST
Hydrant Location:
(Please be specific to the hydrant location, include the street name and number.
Hydrants are addressed from the street they are facing. If no address can be located,
please include a sketch or map to show location of hydrant you want tested.)
Project Name:
Project Address:
Company Requesting:
Company Address:
Contact Person:
Telephone Number:
Fax Number:
E-Mail Address:
Reason For Test:
Additional Information:
□ Private Hydrant
(If Private Hydrant you must get authorization signature before test)
(Please include a check for $145.00 per request. A completed request form is required
for each hydrant being tested. Checks should be made payable to the “Mecklenburg
County Fire Marshal”.
Test results can be mailed or faxed to you after request has been received and
processed.
Please indicate how results should be sent to you.
(Mail, E-Mail or Fax)
700 North Tryon Street • Charlotte, North Carolina 28202 • (704)336-2154 • Fax (704)336-3846