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Mailing Address for Alleged Violator (if known)
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Type of Alleged Violation (Select ONE) *
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Excavating without a valid 811 locate ticket - Detail *
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Locate Violation - Detail *
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Positive Response Violation - Detail *
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False Emergency Violation - Detail *
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Trenchless Excavation (Directional Boring) Violation - Detail *
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Violation after Damaging Utility - Detail *
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Did a damage occur as a result of this violation? *
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Utility Type
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Gas Line
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Electric Line
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CATV Line
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Phone Line
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Sewer Line
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Water Line
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Must be 14 characters. Currently Entered: 0 characters.
Enter Ticket Number Only
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Location of Alleged Violation
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Attachments must not have symbols in the file name. Example:( $, &, *, % ) etc.
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DATE/TIME STAMPED PHOTOS, VIDEOS, SKETCHES, WITNESS STATEMENTS AND ANY OTHER DOCUMENTATION TO SUPPORT YOUR COMPLAINT MUST BE ATTACHED WHEN SUBMITTING THIS FORM IN ORDER TO BE CONSIDERED BY THE ENFORCEMENT BOARD.
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