Form Center

2. Approved ROW or TxDOT Permit Number*
3. Request Date*
5. Permit Expiration Date*
7. Email Address to Receive Notifications*
8. Company*
10. Applicant*
11. Applicant Phone*
13. Name of Field Contact*
14. Field Contact Phone*
16. Physical Address to be Located*
17. Subdivision
19. City
20. State
21. Zip
23. Nearest cross-street*
24. Estimated time in days of how long this work will take to complete:*
26. Is locate an emergency?*

    1. Emergency (Must be danger to life, health or property)
27. Type of Work (Include all utilities that will be installed).*
29. Detailed description of area to be located:*
30. Upload Map of Requested Locate Area**
31. Confirm by checking the box. **

    1. I confirm the physical location has been marked with white paint.

33. Damage to the City Infrastructure during construction requires immediate repair by those responsible for the damages. If the party responsible for the damages does not have the labor or materials to repair the infrastructure immediately, the City of Celina Public Works Department will repair the damages and the cost of said repair is to be borne by the responsible party. The responsible party will only be able to continue work in the City of Celina after the invoice is paid to the City of Celina for the repair of the damages. Any work performed 14 days after a line locate was completed will require a new locate request. The line locate is an approximate location and it is the General Contractor’s responsibility to determine the actual elevations and horizontal locations by non-destructive methods. When working within 20 feet of a wet utility line 16 inches or larger, the contractor is required to pothole and contact a Public Works Line Locator for verification before construction begins.

34. Disclaimer
    Request for Line Locatewill be completed within 2 hours of receipt and the utility line locator will notify the contractor if it will be longer than 2 hours at number provided on form. 
    
36. Electronic Signature

    1. I agree

    By checking I agree, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field