Community Association Engineering
A division of
GJB Engineering, Inc.
Quality Engineering with Personal Service tm
Full Service Professional Civil Engineering, Infrastructure Management
and Reserve Planning Services for Community Associations since 1991

PCS™Drainage Consultation Order Form

Name of Community:

Name of Association (exact):

Location of problem area(s):

(use nearest full street address)

How many separateareas/locations will be reviewed during the Consultation? _____

Check (or "x") all of the following that you believe are applicable to the problem area(s):

  • Yes __ No __ Damage (or claim thereof) to individual homeowner dwellings?
  • Yes __ No __ Damage (or claim thereof) to individual homeowner land/features?
  • Yes __ No __ Damage (or claim thereof) to common (association) land?
  • Yes __ No __ Damage (or claim thereof) to common elements (improvements)?
  • Yes __ No __ Flooding or ponding?
  • Yes __ No __ Erosion?
  • Yes __ No __ Upstream or downstream offsite property or property owners (neighbors) involved?

Brief description of the nature of drainage problem (you may attach separate documents instead if you wish):

Check (or "x") which of the following items you can provide that will assist us in preparing or performing the consultation. None are required, but the consultation is improved when such information is available at or prior to the date of services:

  • Yes __ No __ Construction Plans, Plats, Surveys or other maps/drawings of area(s) in question.
  • Yes __ No __ Complaints/concerns regarding the area(s) you have received
  • Yes __ No __ Proposals you have received from contractors

Please attach, in your reply, any emails, scanned documents or other information you think would be helpful to understand the nature of the problem and where it is located. This is not required, but does improve the quality of the consultation.

AUTHORIZATION TO PROCEED

___ Place check mark or "x" here signifying that you have read the "Fees" portion of and agree pay Fee within 14 days of date which PCS Drainage Consultation is performed:

Your name: Title: Date:

Please provide full billing address: