Markout Information

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MARKOUT REQUEST FORM

Emergency Markout Requests please call 603-424-9241 (After-Hours - press “5” to be connected to a member of the On-Call Staff.)

IMPORTANT NOTE: MVD DOES NOT PERFORM MARKOUTS ON WATER SERVICE LINES; ONLY the CURB-BOX (shut-off valve) for the property will be marked.

To request the curb-box (shut-off valve) marked please complete the information below.

EXCAVATOR INFORMATION

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Company & Title (if applicable):

Contact Name: *

(Name of person submitting request)

Contact Phone #: *

Email: *

SITE INFORMATION

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Location for Markout Request: *

NOTE: Location must include details - not just a street address. Ex: Pole replacements must include the pole number, the nearest street address, and the nearest cross street

Nearest Intersecting Street:

(Nearest Cross Street)

Additional Location Information:

WORK INFORMATION

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Description of Work to be Performed: *

Include the type of work and area where it will be performed.

Where will you be working: *

DATES

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Scheduled Start Date: (mm/dd/yy) *

Time *

Please type any additional information/notes in the section below:

Upload File (if necessary)

Confirmation & Agreement

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Terms & Conditions: *

MVD ONLY performs Markout Requests on water mains/valves/pipes/etc. that are owned by MVD. It is understood that MVD only owns up to and including the first valve of the water service line. If there is any question regarding ownership please contact our office at 603-424-9241 or email us at customerservice@mvdwater.org. Per RSA 374:51 \"II. At least 72 hours before a proposed excavation, but not including Saturdays, Sundays and legal holidays, each person required to give notice of an excavation shall notify the damage prevention system referred to in RSA 374:49...\" All requests are subject to Merrimack Village District (MVD) By-Laws.

I understand and agree to the Terms & Conditions and MVD's By-Laws.

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