Temporary Pole Service Request (Subdivision)
Authorized Representative Name:
Any phone number provided, including wireless, may be used by GreyStone Power to contact you.
*
Account Name:
*
Authorized Representative:
*
Email Address:
*
Contact Phone:
Fax:
Field Contact Information
Please provide a name and phone number to be utilized by GreyStone Operations staff to contact appropriate personnel regarding problematic field conditions.
Same As Above
Contact Name:
Contact Phone Number:
Service Location 1:
*
Subdivision Name:
*
Lot:
*
Address:
*
County:
*
Request Type:
Connect
Retire
By submitting this form you are notifying GreyStone Power that the following 3 statements are true:
(1) Temp pole is set and properly grounded in accordance with NESC and GreyStone Power Requirements.
(2) Temp pole and ground rod are located 3 ft. outside of primary ditch line.
(3) Meter base is properly installed with 2.5 in. conduit and no broken or missing parts.
Service Location 2:
Subdivision Name:
Lot:
Address:
County:
Request Type:
Connect
Retire
By submitting this form you are notifying GreyStone Power that the following 3 statements are true:
(1) Temp pole is set and properly grounded in accordance with NESC and GreyStone Power Requirements.
(2) Temp pole and ground rod are located 3 ft. outside of primary ditch line.
(3) Meter base is properly installed with 2.5 in. conduit and no broken or missing parts.
Service Location 3:
Subdivision Name:
Lot:
Address:
County:
Request Type:
Connect
Retire
By submitting this form you are notifying GreyStone Power that the following 3 statements are true:
(1) Temp pole is set and properly grounded in accordance with NESC and GreyStone Power Requirements.
(2) Temp pole and ground rod are located 3 ft. outside of primary ditch line.
(3) Meter base is properly installed with 2.5 in. conduit and no broken or missing parts.
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