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TOWN OF MIDLAND LOCATE

TOWN OF MIDLAND WATER & WASTEWATER SERVICES575 Dominion AvenueMidland, Ontario
L4R 1R2(705) 526-4275 Fax (705) 528-6072RECORD OF LOCATING WATER MAINS &
SERVICESeb45d803-e2b4-4802-b6a5-36462bb26e39 1Locate Request InformationON1CALL
Ticket Number:20232625295Nature and Location of work:BORE
HOLESMunicipality:MidlandStreet Address:526, BAY STDate
Requested:2023/07/05Contact Name:EDR TILBURY - PINCHINPhone number:(249)
288-2959Fax number:Email:ON-Tilbury-EDR@pinchin.comCLEARANCEThe Town of Midland
Water and WastewaterServices acknowledges the intent for excavation,however, you
have requested locates for thefollowing exception where a traditional locate
ormarking for water and sewer infrastructure will notbe provided.Locates for
Private PropertyYou will be liable for any damages to the Town ofMidland Water
and Wastewater Infrastructure ifexcavating/digging prior to receiving a
completedlocate or clearance from the Town of Midland Waterand Wastewater
Services.Please call the Town of Midland Water andWastewater Services at
(705)526-4275 Ex. 4207, ifthere are any changes to this locate resquest.Locates
and clearances are valid for 90 days only.

TOWN OF MIDLAND WATER & WASTEWATER SERVICES575 Dominion AvenueMidland, Ontario
L4R 1R2(705) 526-4275 Fax (705) 528-6072RECORD OF LOCATING WATER MAINS &
SERVICESeb45d803-e2b4-4802-b6a5-36462bb26e39 2Completed Locate
InformationCAUTION HAND DIG WITHIN 1 METRE OR 3.28 FEET OF MARKINGSDEPTH OF
SERVICES OR MAINS VARIES AND MUST BE DETERMINED BY HAND DIGGINGPLEASE NOTE THE
TOWN OF MIDLAND DOES NOT PROVIDE TRACED LOCATIONS OF SANITARYOR STORM SEWERS. WE
ASK THAT YOU PLEASE TAKE CAUTION WHILE DIGGING.Comments:Requested Locate area
Clear of Municipal waterLocate markings:Photo or GIS Map (if
applicable)Locator's Signature: Date of completed locate:05/07/2023

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