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Lesley Retail (QT)-PT111026 I A copy of the approved permit must be on the job site at all times. CC: Applicant r H E C i r v OF Page 1 of 4 Public Works COPPELL Permit File Rev. 07/2010 Orig. to Project File T e x 'Ar' $ q ? = 1 3 R C V s AppEar 1 RIGHT -OF -WAY USE PERMIT APPLICATION Perm valid for 90 calendar d ays from d ate of approval ermit application to the Engineering Dept., Town Center, 255 Parkway Blvd. I O Date of Submittal: 2 26 t- ( Applicant's Job # / Work Order # FbAO ET PERMIT FEE: $100.0 (No charge to Utility Companies with approved Franchise /ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001 -944. Certificated Telecom Provider? I Y N 171 Plans provided and approved v (Erosion Control /safety fences must be installed prior to beginning work) Project Name / Location: S . BEL._T L . L, RD I) l V WEN C t) f . General Contractor: tAe LAS LEA( COMMAAN 1epr T to N s Contact # (214..)9 - 2-51 an / Representative: 4 \ \ \' �� L-1� Permit issued to Company Y P s. a "i1OWS Mu.RPl+1 Address: '3122 KeA D (N. eri er t 1 }o IA 1,)G 'TJOU Go Telephone #: Cam) , ? j L Emergency Telephone #: Cat q_)c -25517 Utility Company Represented: ❑ Oncor Electric Delivery ❑ Atmos Energy erizon ❑ SBC/ AT &T ❑ Time Warner Cable ❑ CoSery Electric /Gas ❑ Other General Description of Work (provide four [4 sets of plans): In accordance with Ord. No. 2001- 44. R-e_l oca h a./.4 e � -,1-i v t : V ey u o v. p e s t e s f ct ( a C r e € p ec ACV CV V e_ - qu , . k 1 rte t 74) Estimated Start Date Date* 1 �t Estimated Completion Date 24 * 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 if YES, must have City inspection prior to concrete replacement Right -of -Way Use Permit Application 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 972 - 462 -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 @ 972 - 304 -3500 Street Department @ 972 -462 -5150 Engineering Department 0 972- 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 4:00 p.m. ONLY unless otherwise approved by City Engineer. > Attach Work Order (franchise only) and /or 4 sets of prints showing proposed work. I 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.) 4 \ �//1 , k� J _ _ � Y✓� fk 0i /G -- -‘1 -- 1) i ature • f Utili'% •, ny Representative Printed Name Date � + / err J h►1 04 v -1 L /0-..7t/-/ 1 s i Sign. ure of Contra R- entative Printed Narie (. J Date ...iAMia m kA 4Acc- C - to jz Y I b S i : 7 .�i City Representative Printed Name Date ➢ Comments: > NOTE: Notify City Inspector at 972 - 304 -3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfll 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. A . I i I 1 1 I x z '''' o easement 1 1 = c _ o c 15' >+ CD TNP easement 1 CO [ N 1 r GROUND o CABL (existing) m Q - water - - - line (DEPTH DETAIL) LE VEL \i:r /\' / 15'- -� '� (existing) electric pole N K D 2 \------. _ (proposed • 0 J t- (existing) z W (�J sanitary CO ,--1 removing (existing) sewer • c L t 4 T Verizon pedestal S a o ° s for proposed driveway o o - D y , > 0 0. o O .. W CO U .� L 3 C C) 0 cm o N 61 N m C L m e N m � m 0 m o (relocating) Z o o a o Ve pedestal o 0 N a- 0 outside of proposed a i m x driveway 0 L > v WI (existing) electric poles DIVIDEND DR. a k` \'\ (existing) Verizon pedestal s. NOTE AREA VERIZON STATE: TX (1) ALL UTILITIES WILL BE LOCATED BEFORE WO NO.: 8P0A0FT 1 AREA: COPPELL WORK IS STARTED (2)ALL LANDSCAPING WILL BE RESTORED TO ITS ORIGINAL CONDITION TITLE: MOVE PED FOR OUIKTRIP DRIVEWAY CONSTRUCTION (3)ALL WORK CAN BE PERFORMED OUT 1 OF ROADWAY WITHOUT LANE BLOCKAGE PATE: 10/19/11 I SCALE: 1'= 50.00' BUT TRAFFIC PLAN IS INCLUDED (4) CALL MIKE GRAY /VERIZON ENGINEERING FOR ANY FILE: WPl DRWN ENG APRVD PRINT DUESTIONS o 972 -318 -3457 MG MG 1 OF 1 . \J \Anna \nnnAnrfl...._A 1.._ . 1n /nA / 1.5859 PM C:. \UCg.I1 \' oLV\or'V/'\Vr 1 \wp I.ul�ll IV /L't /GV 1 1 I.uo r1Vl DIVIDEND DR, COPPELL T - Google Maps Page 1 of 1 all Go '''' '81-e To see tle he on m the screen, use the the details "Print " link next are visib to tap. c te , , , its Dr (1) w 3 • I Divicierkd Dr $ vBde nd Dr - ��( �, i C93 C3 1 a ©2011 Goog(e - Map data 02011 Gaogie - http :;'maps.google.co�mimaps ?h: =en &tab =tivl I �; 24,�2G 11