Fiberlight-PT091110 (3)A copy of the approved permit must be on the fob site at all times.
CC: Applicant
Public Wor D D D O D
Permit File
Orig. to Project File
T H E • C 1 T Y • O F
COPPELL
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Page 1 of 4
Rev. 11107
10 -15 -0 9P03:52 RCVD
RIGHT -OF -WAY USE PERMIT APPLICATION
Permit valid, for 90 calendar days from date of approval
Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd.
Date of Submittal: Applicant's Job # / Work Order #
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise /ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001 -944. Certificated Telecom Provider? Y N
❑ Plans provided and approved
(Erosion Control /safety fences must be installed prior to beginning work)
Project Name / Location: & LTLJ J?E NoR TN OF WC-6 OP-C pf-•�
General Contractor: Ay I-e- \ 'e l� tm .., Contact #
Permit issued to Company / Representative:
Address: A b V 1 j o kf : A '-SN Q 1 -\;
Telephone #: Emergency Telephone #:
Utility Company Represented:
❑ Oncor Electric Delivery ❑ Atmos Energy ❑ Verizon ❑ SBC/ AT &T
Time Warner Cable ❑ CoSery Electric /Gas obther riiraor
eneral Description of Work (provide four [41 sets of plans): In accordance with Ord. No. 2001 -944.
POSE `a P u1cE; ,;�- l VF 0 SY Baer, C&s61$9 J3E1 P-&, &1AIMAIb �I ` AAOAnl 0f lic
IN'Ef15E0701J ( _)f WC5gojecg Br- & uo1E., C b5vd6 UA)8 ISCLTunIE /S5 TNEN Tuoeill nld Obm CAN Twr
(mss` Sias oc Pla T /IV To A 4 iu-. - To-r,4L doe Tyr /s A ll - i7tr Afil `?
Estimated Start Date t! ,- 1 1 <:f'j Estimated Completion Date* 11 l I{
* Completion requires submittal of Completion Verification Notice (see page 4)
➢ Was contact made with City and /or utility companies to locate existing utilities?
if NO, Reason: YES ® NO ❑
Is removal of existing streets, alleys, or sidewalks necessary? YES ❑ NO Eg
if YES, must have City inspection prior to concrete replacement
Right -of -Way Use P Appli Page 2 of 4
Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which
includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at
the applicants expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices.
Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage,
vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972462 -5155.
➢ Any excavation requiring closing of a street /alley must be reported prior to closing to the following:
Police Department ® 972 -304 -3600
Fire Department C 972 - 304 -3500
Street Department @ 972462 -5150
Engineering Department @ 972 -304 -3679
➢ Attach barricade plan / trench safety plan if a lane or street closure is required.
NOTE: Street closures are allowed from 9:00 a.m. until 3:00 p.m. ONLY unless otherwise approved by City
Engineer.
➢ Attach Work Order (franchise only) and /or 4 sets of prints showing proposed work.
Contacts must be made to locate existing utilities 48 hours prior to beginning work.
(Application with original signatures should be submitted to the Engineering Department before approval.)
Signature of Utili ompany Representative Printed Nkne Date
Si nature of
g
Printed Name
�®1 -
Date
1. fftft) I
Signature of City Representative
Comments:
A/lccA V Lr 4,MZ✓r
Printed Name
Date
➢ NOTE. Notify City Inspector at 972 - 304 -3679 prior to beginning work and prior to
backfill for concrete, trench, ditch and open pit inspections. Backfill must meet
all construction standards approved by the City of Coppell.
Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim,
demand or cause of action that may be made or come against it by reason of or if any way arising out of the
closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City,
if such permit is granted.
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UTM Coords:
REVISIONS
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ROW — — —ROW VARIES— —
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-1 SEE PROFILE: A
1 300 BLK PROPOSED CATV
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- - - - -- --------- - - - - -- - - --- ------- - - - - --
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ALL STREETBORES
ARE PERPENDICULAR
TO THE CURBS.
STREET GRADE
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— — — — — — — — — — — — — — —
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— — — ROW VARIES — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
ROW
TYPCCAL TRENCH DETAIL
2e I
— 1 — AT6TBRCUDflVO
UNDERGROUND QUANTITY
TRENCH & PLACE CONDUIT — IMPROVED
PROFILE: A
RO
TYPICAL STREET ROW PLACEMENT
BORE & PLACE CONDUIT 247'
S - Rec'.CURe
DIRECTIONAL BORE
89'CURB
Tr
BORE & PLACE STEEL CASING
PLACE G.I.P. RISER W/ STANDOFFS
I
PLACE 3' X 5' X 3' HANDHOLE
PLACE 4' X 4 X 4' MANHOLE
4Y
PLACE QUAZITE VAULT
, - :OND1 rr
\\\�DEFBJITION
R & R CONCRETE SIDEWALK
ROUTE
R & R CONCRETE PAVEMENT
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R & R ASPHALT PAVEMENT
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- '15' SAN SWA 5
reDESI/�i�
PULL CABLE IN EXSITING CONDUIT
012'WATER 7
<�ROAD BORE
PLACE WARNING SIGN
U.6 x� rre
INTERIOR QUANTITY
PLACE EMT CONDUIT
EQUIPMENT DEFINI N
PLACE PLENUM INNERDUCT CONSTRUCTION NOTES:
PLACE G.I.P.
— MIN. 2' SEPARATION TO BE MAINTAINED BETWEEN CONDUIT AND
PLACE 4" X 4" X 12" GUTTER BOX
PLACE 24" X 24 X 8" JUNCTION BOX
WATER, SANITARY SEWER, STORM SEWER AND GAS LINES,
- PROPOSED CATV. RUN 2 -14" HDPE. MAINTAIN 42" COVER
*Profile Note: PROPOSED CONDUIT 89
CORE BORE
PULL CABLE IN EXISTING CONDUIT
- VERIFY DEPTH AND POT HOLE AS REQUIRED.
PROPOSED CONDUIT 2EA 1 112" HDPE
/i,n� „�! ?,n/r,r ,,r��� r•�VcR
•�\
PERMIT FOR
N
TYPICAL ALLEY PLACEMENT
EXISTING UTILITIE
EXISTING VTIUIIES AND UNDERGROUND FACILITIES INDICATED ON THESE PLANS HAVE BEEN LOCATED FROM REFERENCE
INFORMATION. IT SHALL BE THE RESPONSIBILITY OF THE
CONTRACTOR TO VERIFY BOTH HORIZONTALLY AND VERTICALLY
THE LOCATION OF ALL EXISTING UTILITIES AND UNDERGROUND
FACILITIES PRIOR TO CONSTRUCTION, TO TAKE NECESSARY
PRECAUTIONS IN ORDER, TO PROTECT ALL FACILITIES
ENCOUNTERED. THE CONTRACTOR SHALL PRESERVE AND
CaV HILTON PERMIT RD
sH.3oF3
CAME
05 CU5TOA
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AN1?uFyrx
CONCRETE fD6E—
CITY: COFFEE
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LOT
COUNTY.
DALLAS
STATE:
TEXAS
SYSTEM:
PROTECT ALL EXISTING UTILITIES FROM
CONSTRUCTION.
MAP NUMBER
an 05 10 04:34p city of coppell
Page 4 of 4
T H E G I T Y - O F
COFF-
,
�
E
UTILITY RELOCATION IN RIGHT -OF -WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972 - 462 -5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name t e-
Project Location / Applicant's Work Order # cif applicable)
�_4 K�r, Y i-) 2 `f lV - U9 -
Sub - contractor Company Name �„ ; t , Q ) ,, l. c a
24 hr. Contact Number a - 7 R - r
Date of Verification Appointment
Time of Verification Appointment ju e
T` - VnT?MA'n6\y RF.T.nw TO RE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL
Inspected by z ,iiG { wt �� of UTILITIES Maintenance Division on
and found to be(
eptabl� not acceptable because _
. tab
Follow -up needed.' � YES Follow -up scheduled for
Inspected by of STREETS Maintenance Division on ,
and found to be acceptable / not acceptable because
Follow -up needed? NO / YES Follow -up scheduled for
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX. 75019
Office: 972-304-3679 Fart: 972 -304 -3570