Fillable Exception Request Form (City of Vaughan)

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Exception Request Form (City of Vaughan)

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The Exception Request Form (City of Vaughan) form is 1 page long and contains:

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  • 0 check-boxes
  • 23 other fields

Country of origin: CANADA
File type: PDF

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Exception Request Form
To be completed by Proponent
Project Details
Site Name & Phase # (if Available)
Project #
Engineering Drawing #:
Site Location
Pipe Material
Pipe Size
Appurtenances Information
Total Length of Connection (up to 40m)
Provide Highlighted site plan for the connection
Reason for Exception Request (under section 1.1.4.2 of the Ontario Watermain Disinfection Procedure)
Connection Cross a Transportation Corridor
Traffic Congestion
Loss of emergency vehicle access
Safety Concerns
Destabilizing an existing thrust block
Other
Verification
Name of the Project Engineer
Date
Signature
To be completed by City of Vaughan ORO
Review
Date request received
Exception Request Approved (Yes or No)
Date decision made
Name of ORO
Signature of ORO
Connection greater than one pipe length (6m) up to 40m
To be completed prior to project start date
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Exception Request Form (City of Vaughan)

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Completed 9 May 2021

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