Solar Pump Site Survey Form
Please provide accurate site information to help us assess suitability for solar pump installation.
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Site Address or GPS Coordinates
*
Type of Water Source
*
Borewell
Open Well
River/Stream
Pond/Lake
Other
Estimated Daily Water Requirement (liters)
*
Current Water Pumping Method
*
Manual
Diesel Pump
Electric Pump
No Pump Installed
Other
Describe Site Access (e.g., vehicle access, road conditions)
Available Sunlight at Site
*
Full Sun (6+ hours)
Partial Sun (3-6 hours)
Mostly Shaded
Is there sufficient space for solar panels near the water source?
*
Yes
No
Uncertain
Additional Site Constraints or Notes
Submit Survey
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