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Private Utility Request
Please complete the form below.
Contact Information
First Name*
Last Name*
Company Name*
Country*
--None--
CA
US
Address*
City*
State/Province*
--None--
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
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NC
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NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VA
VT
WA
WI
WV
WY
YT
Zip*
Phone*
Email*
Job Site Information
Jobsite Name*
Job Site Street Address*
Job Site City*
Job Site State*
--None--
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VA
VT
WA
WI
WV
WY
YT
Job Site Zip
Location Type*
--None--
Bulk Refinery Terminal
Cell Site
College
Commercial Business
Empty Lot
Factory
Gas Station
Hospital
Inside Building
K-12 School
Manufacturer Facility
Military Facility
Other
Parking Lot
Pipeline Facility
Power Plant
Residential
Sewer Waste Water Treatment Facility
Warehouse
Location Other Detail
Project Details
Select A Service*
Utility Locating
Utility Mapping
Fault Locating
Concrete Scanning
Sewer/Pipe Camera Inspection
Jetting
Vacuum Excavation
Estimate Needed By
Requested Service Date*
Details About Your Project*
What work are you completing onsite?*
Utilities to be Marked
All Applicable Private Utilities
Cable TV
Electric
Fiber Optic
Gas
Other Utilities
Storm Sewer
Sanitary Sewer
Telephone
UST
Water Main
Other Utilities Detail
Utility Locating Detail
Size of Area to Locate
Would you like a scaled map?
--None--
No
Yes
Is an existing CAD File Available?
--None--
Yes
No
Would you like a CAD file generated?
--None--
No
Yes
Do you need the sewer mains located?
--None--
No
Yes
How would you like the sewer main located?
--None--
Robotic Camera
GPR & Rodder
Fault Locating Detail
What is the approximate length of the line?
What type of line is broken?
--None--
Primary
Secondary
Is there a line inside the conduit?
--None--
Yes
No
Unknown
Are you able to disconnect both ends?
--None--
No
Yes
What is the terrain of the location of the Fault/Break?
--None--
Asphalt/Concrete
Dirt/Grass
Utility Mapping Detail
Would you like the raw data?
--None--
No
Yes
Are there any benchmarks/reference points already on site?
--None--
Yes
No
If yes, please describe the existing benchmarks
Select Preferred Coordinate System
--None--
State Plane (NAD83)
WGS1984 (Lat/Long)
Other
If other, please provide detail of the preferred coordinate system.
Preferred finished map format
--None--
CAD (.dwg)
GIS (Shape file)
Google Earth (.kmz)
Microstation (.dgn)
Microsoft Access (.mdb)
AutoCAD (.dxf)
Would you like the finished map in PDF format as well?
What special attributes/labels would you like on the map?
Concrete Scanning Detail
What needs to be scanned?
Post Tension Cables
Rebar
Thickness of Concrete
Utility Conduits
Other
If other, please provide detail.
What is the approximate depth of the surface?
Would you like an advanced report?
--None--
Yes
No
Sewer/Pipe Camera Detail
What is the use of the pipe?
--None--
Sanitary
Storm
Combination
Do you need lateral or taps?
--None--
No
Yes
What type of sewer access is available?
--None--
Clean out
Inlet (storm drain)
Man hole
Toilet
Other
What is the approximate length of the line?
What is the approximate size/diameter of pipe?
Would you like a PACP Report?
--None--
Yes
No
Does the pipe contain contaminates or corrosives?
--None--
No
Yes
Do you need the pipe located with EM?
--None--
No
Yes
Would you like the video on a flash drive?
--None--
Yes
No
Has the line been jetted/cleaned already?
--None--
Yes
No
Unknown
If no, would you like us to jet/clean the line?
--None--
Yes
No
What is the type of terrain near the access point?
--None--
Asphalt
Dirt
Gravel
What is the parking proximity to access point (feet)?
--None--
Unknown
10
20
30
40
50+
Jetting Detail
What is the use of the pipe?
--None--
Sanitary
Storm
Combination
What type of sewer access is available?
--None--
Clean out
Inlet (storm drain)
Man hole
Toilet
Other
What is the approximate length of the line?
What is the approximate size/diameter of pipe?
Is there water hookup available onsite?
--None--
Yes
No
If yes, please describe where the water hook up is located.
Is there a location to dump the soil?
--None--
Yes
No
If yes, please describe where the soil dump is located.
What is the type of terrain near the access point?
--None--
Asphalt
Dirt
Gravel
What is the parking proximity to access point (feet)?
--None--
Unknown
10
20
30
40
50+
VACUUM EXCAVATING Detail
What is the type of work being done onsite?
--None--
Pot Holes (Soil Boring)
Trenching
Pits
Please select type of Vacuum Excavating needed.
--None--
Air Knifing
Hydrovac
Air Knifing + Hydrovac
Is there water hookup available onsite?
--None--
Yes
No
If yes, please describe where the water hook up is located.
Please approximate the needed number of holes.
What is the approximate depth of holes needed?
What is the approximate size/diameter of holes needed?
Is there a location to dump the soil?
--None--
Yes
No
If yes, please describe where the soil dump is located.
Will road cuts be needed?
--None--
Yes
No
If yes, would you like us to repair the road cuts?
--None--
No
Yes
If yes, please select the road Cut restoration type.
--None--
Cold Patch
Concrete
Soil/Dirt/Gravel
Hot Mix Asphalt
Would you like us to fill in the holes?
--None--
No
Yes
If yes, please select the hole restoration type.
--None--
Native Soils
Flowable Fill
Gravel
Sand
Other
Will traffic control be needed?
--None--
Yes
No
Are permits required for the work site?
--None--
No
Yes - BHUG responsible
Yes - Customer responsible
Have you called 811 already?
--None--
Yes
No
If yes, please enter the 811 Number.
What is the parking proximity to access point (feet)?
--None--
Unknown
10
20
30
40
50+
Are site pipes needed?
Will soils be required to be barreled?
--None--
No
Yes - BHUG provided
Yes - Customer Provided
Are the soils contaminated?
--None--
No
Yes
Is there any special PPE required for this work?
--None--
Yes
No
Unknown
If yes, please provide in detail what PPE is required.
or Give Us a Call at
888-858-9830
or Give Us a Call at 888-858-9830