Hillpoint/Lime Ridge Project Fiber Drop Application FORM – Hillpoint – Lime Ridge FORM – Hillpoint – Lime Ridge Before Reedsburg Utility / LightSpeed can begin underground construction, we require the property owner or authorized representative, to supply a map showing relative locations of all private facilities and equipment in potential construction paths. These private facilities may include sprinkler systems, sewer or water lines, existing telecom lines, underground electrical wiring, lawn lighting, propane lines, underground dog fencing, or any other electrical lines beyond your meter. Date Property Owner Name: * Mailing Address: * City, State and Zip * Phone Email Total Service Drop Fee: $100.00 (if received by Aug. 3, 2023) * Credit Card (Please note: RUC LightSpeed will need to set up your account to apply a credit card payment. If you choose this option you will be contacted by an Account Representative within 7 business days to apply your credit card payment) Check (Mail to: PO Box 230, Reedsburg, WI 53959) The signed has requested and hereby authorizes the installation of a fiber service line and equipment by Reedsburg Utility (RUC) / LightSpeed on the property for future service connection at the attached address. I agree to supply a map to clearly identify all private facilities prior to start of construction activities. I understand that failure to supply this could result in damage to those facilities. I understand that in the event of any damages to facilities that I did not indicate, Reedsburg Utility or it’s contractor(s) are not responsible and I agree to hold them harmless for any damage. I understand that a 120V outlet is required for the electronics and for service to be supplied. UNDERGROUND CONSTRUCTION CANNOT BEGIN UNTIL THIS FORM IS SIGNED AND RETURNED TO REEDSBURG UTILITY (RUC) ALONG WITH PAYMENT AND A MAP OF PRIVATE UTILITIES. PLEASE CALL 608-768-1000 WITH ANY QUESTIONS YOU HAVE REGARDING THE APPLICATION. SEND APPLICATION, MAP AND PAYMENT TO: 501 UTILITY COURT, REEDSBURG WI 53959 Please Note: A standard service drop includes vibratory plowing the service line from the road right-of-way to the customer premise. Fiber service drop does not include private service extensions. RUC / LightSpeed or it’s contractor will contact Digger’s Hotline prior to excavating on the premise. Through Digger’s Hotline, all public supply utilities will be marked from the right-of-way to the home or business. Any private utilities such as water, sewer, irrigation, utilities to our buildings, LP Gas, water wells, septic lines, and wood furnace lines will not be marked. RUC and it’s contractor(s) are not responsible for damage to private utilities that have not been shown on the owner provided map/sketch prior to the start of work. Turf restoration will only be completed on excavated turf areas in the right-of-way and not along the plow line or in the customers property. Turf restoration will only include a rough backfill of material. Standard installation fees may apply, additional fees may apply to non-standard installations. Attach a draw map of your property or attach a printed aerial screen capture from google maps. Make sure to include the home, all unattached buildings and driveway. Map must include all private underground utilities listed below. Checkboxes Septic / Drain Field: Electrical Lines: Natural Gas Lines: Propane Lines: Sprinkler Systems: Inground Fencing: Well / Waterlines: Wood Furnace Lines: Upload detailed sketch of your property here: (Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc. ) Drop a file here or click to upload Choose File Maximum upload size: 33.55MB Although an upload of your sketch is preferred, as an alternate option you can email your sketch to: lightspeed@rucls.net. If choosing this option, please include your name and service address in your email. Property Service Address (If different than above): City, State, Zip * I accept and agree to the following terms: * • The undersigned property owner has requested and hereby authorizes the installation of a fiber service line and equipment by Reedsburg Utility Commission (RUC) / LightSpeed or contractors hired by Reedsburg Utility Commission/LightSpeed on his/her property for future service connection at the following property address. • All installed equipment remains the property of Reedsburg Utility Commission (RUC) unless otherwise noted. • I agree to pay the established rates for all services, fees, and/or equipment. • I authorize RUC to obtain customer service records from my current or previous service provider and to authorize my local service to be switched to RUC. • I authorize RUC to request my credit report as allowed for permissible purposes under the Fair Credit Reporting Act (FCRA). • I agree to allow the RUC to have access to their equipment, wires and my property in order to provide service. • Internet speeds may vary and are not guaranteed. Wi-Fi performance varies by site conditions. • I agree not to use RUC’s services to do anything illegal or to cause harm. • I agree RUC’s services won’t be redistributed, resold, or shared. • I agree to Reedsburg Utility Commission’s Acceptable Use/Terms of Service policies. • I certify that I am over 18 years of age. DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. Electronic Signature: Name: * If you are human, leave this field blank. Submit