NEWIERSEyONE CALL
Fax-A-Locate Agreement
1)
The phone number for transmitting locate requests by fax is 1-800-705-4559. Only Routine messages tht'ee [3)
full business days notice before the start of excavation within the State of New Jersey are acceptable. Updates,
Emergencies, Cancellations or changes must be called in to 1-800-272-L000 ot' 811,
2)
A "business day" ends at midnight of the same day. Faxes received prior to 10:00pm on a business day can be
entered into tlie system [processed) any time up to 10:00pm of that day. Faxes t'eceived after 10:00 pm will be
processed for the next day. "Business day'' means any day other than Saturday, Sunday or a nationally or State
recognized holiday.
3)
All FAX-A-LOCATE requests subrnitted in this manner must be printed legibly on the specified form provided.
OCC will therr return a processed locate request. New Jersey One Call/One Call Concepts will refuse to process any
locate request[sJ containing vague, illegible or insuflicient information.
4)
The sendel of a locate request[s) assumes all liability for non-notification up until the point that they a: receive
acknowledgement from us in the form of a return fax which includes a confirmation number assigned to the
request, b: verify the cornplete accuracy of all information indicated on the returned locate request. It will be the
original sender's responsibility to notify the call center in a timely manner so that any detected discrepancies can
be immediately corrected.
Jersey One Call that do not comply with the above stated guidelines will be
rejected. It is the sender's responsibility to track submitted requests. If the sender does not receive a
confirmation number for the submitted request, the request has been rejected. It is advised that you call that
5J All dig locate requests faxed to New
request in by phone
6)
OCC reserves the
OCC
-
800-272-7000 or B1t.
right to reject or terminate any company's agreement to use the FAX-A-LOCATE service,
will not be responsible for faxes not received and recorded in our office,
Date:
Company Name:
/
MailingAddress:
0fficePhone:( J
Zip:
State:
City:
-
E-Mail
Fax:f
)
-
-
Company Contact Name:
Cell Phone:
Tirle:
Best Time To Call:
Print Name:
Signature
Signature: (New Jersey One Call use only)
/-/.
Date:
-
/
NJOC FAX-A-LOCATE MARK OUT REQUEST FORM
6*t
NOTE:
denotes required
field. *PHONE:
*EXCAVATOR CO NAME:
EXT:
*CITY:
+STREET:
ADDRESS:
occ-o8o62oro
*CALLER NAME:
EXT:
*EXCAVATOR PHONE:
REV:
Fax: 1-800-705-4559
*ZIP:
*ST:
(P.O. Box lnformatioD)
*EXCAVATOR: FAX
EMAIL
CELL
*TYPE OF WORK:
LOCATION INFORMATION:
*EITHER CIRCLE 'ROUTINE' OR ENTER-START DATE
I
I
TIME
(Please note, Start Date MUST be more than (3) full business days AND less than (10) business days)
*MUNICIPALITY:
*COUNTY:
LON/EAST:
*NEAREST INTERSECTING STREET:
OTHER INTERSECTING STREET:
BLOCK:_
LOT:_
POSTED: YES, NO or
*AREA MARKED IN WHITE: NO or YES = # AREAS
*WORK BETWEEN CURBS: YES
ZONE:
*STREET:
TO ADDRESS:
FROM ADDRESS:
PM
COMMUNITY:
LAT/NORTH:
COORD TYPE:
AM or
MARKED
UNKNOWN-*If
you enter LOT or BLOCK info, you are required to answer.
Are the white firarks labeled? NO or YES = how they are labeled:
*EXCLUSIVELY CURB TO CURB: YES orNO
OT NO
FOR NUMBERED ADDRESSES: Address White Marks Located at, fl
Front I Rear fl Left of Prop I
Right of
Prop fl Street
in Front of Prop
[] Curb to Curb
Ft BEHIND Curb
Ft BEHIND Curb
[] Curb to Behind Curb: Curb to _
[] C/L of Street to _
Curb
Begin:_
Ft
BEHIND
Curb
EXTEND
Ft
BEHIND
Opposite
and
to
to
Behind
Op:
Curb
Curb
[]
_ Ft
_
[]
Ft Perimeter of [] House, [] Building, [] Structure, [] Other
[] Perirneter: _
IOCAICd Ft BEHIND CUrb
[]Radius:FtRadiusof[]Pole-'[]Ped-,[]other
to High
, Consecutive: [] A11, I e*n, tl Odd. g Side by Side, [] One Building
[] Consecutive Addresses: Low
[] Curb to Entire Property
FOR'O' ADDRESSES-NOT ONLY AT INTERSECTION
U M/O N S E W of intersection at: [] Dead End, [] Cul De Sac, [] Other
From C/L of
[] M/O Entire Length of
Ft
in
all directions of C/L of intersection (s)
AND
Intersections
All,
Both
Including,
I
[]
[]
MILE MARKER - locates can only
be used on NJ
Turnpike, Atlantic City Expressway and Garden State Parkway
Ft NSE
EXTENDING FTNSEWAND
ll M/O At Mile Marker
[] M/O From Mile Marker
Begins
W
To Mile Marker
FOR'O' ADDRESSES-BOTH AT INTERSECTION AND AWAY FROM INTERSECTION
NSEW,ALL,BOTH, AND N S E
[] M/O BeginsatC/LoflntersectionandEXTENDS
-.-Ft
W
fromC/Lof
Intersection
N
E
S
Located
M/O
[]
[]M/O
To C/L of
Ft N S E W
from C/L of Intersection AND
EXTENDS
Ft
N
W
for
Ft
EW
ONLY
FOR'O' ADDRESSES_INTERSECTION
-Ft
[] M/O Located at Intersection
[] M/O Comers N S E W NE NW SE SWor ALL Cornersoflntersection
required for'0'addresses.
FOR'0' ADDRESSES-AREA TO BE MARKED
Ft BEHIND N S E W or ALL or-BOTH Curb
[] Curb to
[] Curb to Curb
[] Perimeter:
[] Radius:
REMARKS:
Ft Peritneter of [] House, [] Building, [] Structure, [] Other
Ft Radius of [] Pole
[] Other
[] Ped-,
--'
-
1Nq4g:
*ADDRESS:
BEHIND Curb
-
EXCAVATION INFORMATION:
*
Ft
located
*DEPTH:-
PHONE:-
IN or FT
COMPANY:
ANY WORK WITHIN 50 FT OF RAIL RoAD: [ ]
YES
CONTACT:
FIRSTNAME
*ST:
STREET:
(P.
O. Box lnfomatioD)
[ ] NO
LASTNAME
*ZIP: