Damage Investigation Report

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1 Report # General Info Utility Cust Invoice #: Company Name: Montana Dakota Utilities Date: 7/15/2019 Utility Rep Present When You Arrived: Yes Original Ticket #: Ver: If not, when did they arrive? Ticket #: Utility Representative: Ver: Date Located: 7/15/2019 Utility Rep Tech #: Address: Providence/Kirk Assessment City: Lead On 7-16 GTI digging in a water line hit a MDU 3/4 Inch Plastic Service that State: SD was 7 feet deep. They were potholing and the bank kept caving in and filling with water and while removing the dirt and water they caught the service Line Type: Gas with a tooth on the Backhoe Bucket. The damage occurred 15 inches from the markings and was still within the 18 inch tolerance zone of the locate marks, it was discovered the line did not go straight into the gas main. Line Size: 3/4" Plastic Approx.3 feet from the main the line turned and went at a sharp angle Approx. 5 feet till it connected to the gas main. The damage occurred at the turn in direction of the pipe. The prints show it going straight into the main. At a depth of 7 feet there is no way to pinpoint a turn this close to the main. Asphalt or concrete removed to within describe dig area: Yes repair damage: No Took Place: Dirt Distance from Ped to Ped: 0 feet r Company Name: GTI Excavator Present When You Arrived? Yes If not, when did they arrive? Name of r Representative: Darrell Steve occurred within legal time limit of request: Yes d line was located: Yes Marks clearly accurate: No Marks off by: No 0 feet inches Marks destroyed by construction: No Marks destroyed by weather: No Whiskers or flags were used: No Offsets were used on hard surfaces (If yes, take pictures showing): No Line Unlocatable: No Line was on prints: Yes Line came up in a closure in the locate area: No

2 Prints & Sketch Prints Sketch ¾ inch Plastic service does not go straight into the main. 3 feet from the main it turns and goes at an angle for approx. 5 feet to the main. It was hit at the direction change MDU Print General Location of

3 Locate & Locate Locates done on occurred on gas was blowing. 811 and 911 were called

4 Locate & Locate Line was d by Tooth on a Backhoe and cut in half was Approx. 15 to 16 inches from marking at the unmapped turn in the ¾ Inch MDU Plastic Service

5 Locate & Locate Hole that damage occurred in, Gas line was 7 feet deep Flags on gas main still visible

6 Locate Ticket Search & Locate Notice id: A0590 South Dakota One Call SEQUENCE NUMBER 71 CDC = MT4 Type: Respot Respot Transmit: 2019/07/12 08:38: Prepared: 2019/07/12 08:38: By: Voice Ticket No.: Operators Notified: BH3 =/Black Hills Power And Light/UW1 =/CTLQL-CenturyLink/ LDC =/City Of Lead/LDD =/Lead-deadwood Sanitary District/ SDC =/Midcontinent Communications/MT4 =/Montana-Dakota Utilities Company/ NHT =/Sdn Communications Llc/BHF =/Vast Broadband/ South Dakota One Call SEQUENCE NUMBER 34 CDC = MT4 Type: Transmit: 2019/07/16 08:26: Prepared: 2019/07/16 08:26: By: Voice Ticket No.: Operators Notified: BH3 =/Black Hills Power And Light/UW1 =/CTLQL-CenturyLink/ LDC =/City Of Lead/LDD =/Lead-deadwood Sanitary District/ SDC =/Midcontinent Communications/MT4 =/Montana-Dakota Utilities Company/ BHF =/Vast Broadband/ Excavator Information: Caller: KYLE RUDE Phone: Excavator: GTI COMPANY Address: US Hwy 85 City: Deadwood, SD Phone: Fax: Contact: KYLE RUDE Phone: Alt. Contact: Alt. Phone: (605) Location Information: County: LAWRENCE City/Village: LEAD Map Ref: (TBD) Grids: (TBD) Exc. Site Address: PAVILION Nearest Intersection: W SUMMIT ST Type of Work : INSTALLING NEW WATER LINE Work Being Done For: CITY OF LEAD Depth: 15 FT Explosives: false Tunnel/Bore: fals e Start date: 2019/07/15 07:45: Duration: 90 DAYS Meeting Required: false Best Time to Contact: not provided Meet Date/Time: Exc. Site (Marking Instr.): (TBD) GPS Lat/Long: GPS Secondary Lat/Long: GPS Lat/Long Caller Supplied: false Additional Locates: not provided Remarks and Driving Directions:FROM THE INTER OF W SUMMIT ST AND PAVILION/HOUST ON ST/S MILL ST, RESPOT ONLY NEEDS RESPOTTED FROM THE INTER DOWN MILL ST TO CEMET ERY ST WHICH IS APPROX. 900 FT START LOCATING AT THE INTER OF PAVILION/HOUSTON ST/S MILL ST AND W SUMMIT ST, LO CATING ON PAVILION TO THE INTER OF S MILL ST AND CEMETERY ST. LOCATE ROW TO ROW FOR THE ENTIRE DISTANCE. ALTERNATE CONTACT: DARRYL SVETCOFF Grids:not provided TRSQ: End Ticket Excavator Information: Caller: DARRELL SVETCOFF Phone: Excavator: GTI Address: SANDSTONE RD City: BELLE FOURCHE, SD Phone: Fax: Contact: DARRELL SVETCOFF Phone: Alt. Contact: Alt. Phone: (605) Location Information: County: LAWRENCE City/Village: LEAD Map Ref: (TBD) Grids: (TBD) Exc. Site Address: MILL ST Nearest Intersection: HOUSTON ST Type of Work : DAMAGE-NATURAL GAS LINE 3 1/4 IN PLASTIC LINE Work Being Done For: CITY OF LEAD Depth: 7FT Explosives: false Tunnel/Bore: false Start date: 2019/07/16 09:30: Duration: 1 MONTH Meeting Required: false Best Time to Contact: not provided Meet Date/Time: Exc. Site (Marking Instr.): (TBD) GPS Lat/Long: GPS Secondary Lat/Long: GPS Lat/Long Caller Supplied: false Additional Locates: not provided Remarks and Driving Directions: DAMAGE-NATURAL GAS LINE 3 1/4 IN PLASTIC LINE-CREW EN ROUTE-CUSTOMERS SERVICE U NKNOWN-GAS IS BLOWING - LOCATED AT THE INTERSECTION OF MILL ST AND HOUSTON ST JU ST AT THE EDGE OF MILL ST WITHIN APPX 15FT FROM THE INTER Utilities must respond within 2 hours M-F and within 4 hours after working hours. Grids:not provided TRSQ: End Ticket Locate Ticket Performed on Ticket called in by GTI on , 911 was notified as well

7 information Report