Submit a Work Order

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Contact Information

Contact Name Required

Contact Phone Required

Contact Email Required

Homeowner's Name

Homeowner's Phone

Homeowner's Email

Billing Party

Billing Address

Billing City

Billing State

Billing Zip Code

Jobsite Location

Heating Contractor

Heating Contractor's Email

Date

Jobsite Address

Jobsite City

Jobsite State

Jobsite Zip Code

Heat Pump Brand

Loop Field Information

Loop Field Type

Loop Field Options

Loop Field Installation

Loop Field Size (tons)

Interior Piping Needed

Flush & Fill Needed

Work Date Requested

Let us know if you would like to get started on a specific date; otherwise, feel free to leave blank

Non-Utility Underground Obstructions

If you know of any potential underground obstructions, please let us know below; otherwise, feel free to leave blank

Special Requests

Special Instructions or Requests may add additional costs to your project above our normal price list procedures. Please use the following choices to help us plan a loop field that meets your site requirements with the most performance for the least cost. Upgrades are priced individually and quoted after a site visit or plan review.

Building Entry

Building Entry Options

Let us know if you have any preferences for the method of entry into the building

Building Entry Type

Let us know if you have any preferences for the type of entry into the building

Drill Cuttings/Spoils

Let us know if you have any preferences for how the drill cuttings or spoils should be handled

Excavated Soil Back fill Requirements:

Note: Durbin Geothermal properly grouts all vertical boreholes per IGSHPA recommendations and appropriate state codes. This section deals with excavated area for supply and return lines and header connections.

Standard Rough Grade Back Fill (Dirt mounded on trenches and left to settle naturally, standard procedure unless specified otherwise) Compact Excavated Soils (Use trench compactor to return site to existing grade, quick landscape restoration) Structural Fill (Engineered fill for specific compaction needs; driveway, parking lot, etc) Partial Compaction/Granular Fill (Part of the loop field will require compacted fill, loop crosses sidewalk/driveway)

Durbin Enterprises, Inc.
200 Jefferson P.O. Box 68
Beecher City, IL. 62414
Phone (618) 487-5402 | Fax (618) 487-5037