Victory Place-PT120202 I A copy of the approved permit must be on the job site at all times.
CC: Applicant T H E• c 1 T Y. o f i Page 1 of 4
Public Works COPPEL
Permit File Rev. 07/2010
r r- co Orig. to Project File x q s ti a � �
r gt RIGHT -OF -WAY USE PERMI PPLICATION r G
Permit valid for 90 calendar days from d , approval
Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd.
Date of Submittal: 1 J /yp n Z 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 )
[f Plans provided and approved L g0,1,0m - D (Erosion Control /safety fences must be installed prior to beginning work) [�y)��,�j -C 2-
Project Name / Location: ee by 19 56O N. DENT D J li ZOA Q
General Contractor: /' a �� N vTr� -c�c
eo eiphimuch o T►fl,J5 KIEL Co► c.t )Contact # 90 3. 431 -7Li7
Permit issued to Company / Representative: t2.1 (5 r / a-044 w,, e7A E
Address: i51( /liGAou- J duc.. noA) 1 Ph - P►Lor Poi JT,TX - 11, 258
Telephone #: '40 - 3b5- 09 95 Emergency Telephone #: 9 40. 3 0 - g 253
Utility Company Represented:
❑ Oncor Electric Delivery ❑ Atmos Energy ❑ Verizon ❑ SBC/ AT &T
❑ Time Warner Cable ❑ CoSery Electric /Gas E(Other Gp f Ei,L, 1 <j b
General Description of Work (provide four [4] sets of plans): In accordance with Ord. No. 2001 -944.
11•15t'Ar14.. to rl.-- 1ti0 FtP,E-vz- -to t'x1102106 (? Sst, IA .UENto0 TAP Roft . t Rgt! Ec1
P. 1-k V 6¢.G A Gf� AA
�lbO AT[ - eS 111144 . 1M1 '-)col -to L.. F1osE�L PI a .1 . `4O C of
Nk ee 11t4ArC E 1 1 N ie xT T 6NA POUT - m P, -0 6, a o S. S IDE of ArZ F G pt,a -eZg
Estimated Start Date 'L/Z /201t. Estimated Completion Date* z /7/1pIz..
* 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 X NO
Is removal of existing streets, alleys, or sidewalks necessary? YES 0 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 a 972 - 304 -3600
Fire Department a 972- 304 -3500
Street Department a 972 - 462 -5150
Engineering Department a 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.
r 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.)
(—) 41111. _
C\r\ta T fifai (JIV ) i) 1 /SO /
Signature of Utility Company Representative Printed Name Date
.a
"� G► pvN 4004 1ne 1 1a 7/11:7/2.-
Signature of Contractor Representative Printed Name Date
w V 4 tq 2 2 2-
Signature ofC Representa`� �'` �'rint ame W . – ,
Y Commen . > i.4AJ ,�UL (Y 4 5 E-
1 N Ca N i% t T
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 cone 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.
T H E • C 1 T Y • O F Page 3 of 4
COPPELL
„, 9
UTILITY RELOCATION CHECKLIST FOR WORK WITHIN
CITY OF COPPELL RIGHTS -OF -WAY OR EASEMENTS
Listed below are minimum requirements for utility relocation projects:
1. A copy of the valid approved City of Coppell permit is required on the project at all times.
2. Notify adjacent property owners (commercial & residential) of project timeline; provide them with contact
names and phone numbers.
3. Proper erosion control measures must be taken.
4. Follow Texas MUTCD standards for work in traffic zones.
5. Sod is to be replaced when necessary.
6. Irrigation repairs must be performed in a timely manner.
7. Follow OSHA recommended trench safety at all times.
8. Repair existing utilities that are damaged, including but not limited to clean -outs, water valves, and SS
manholes.
9. Densities may be required in trench lines (ASTM).
10. Care and repair of street signage is the responsibility of the contractor.
11. No work is to be done in collector roadways before 9:00 a.m. or after 4:00 p.m.
12. Prior notice of work activity on weekends and holidays must be in writing.
13. Line locates must be performed in advance by contacting -1 800 DIG TESS and /or the following:
CITY OF COPPELL UTILITIES DIVISION coppelltx.gov /utility- operations- division
972/462 - 5155
CITY OF COPPELL ENGINEERING DEPT.
972/ 304 - 3679
HOMEOWNER ASSOCIATIONS
972/ 304 -3678 (Planning Dept.)
TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN.
214/ 320 - 5455 (Mike Rasmussen) 940/ 898 - 5138
AT &T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY
214/ 215 - 3031 (Rich Millenman) 817/ 588 - 5800
COSERV Gas & Electric DENTON CO. LEVEE DISTRICT
940/ 321 - 7800 x 7624 (Greg Ward) 214/ 352 - 5118 (Richard Hightower)
EXPLORER PIPELINE Atmos Energy
918/ 493 - 5100 (Patrick Nwakoby) g 9 - 360 - 4
ONCOR Electric Delivery 1 800 DIG TESS for line locates
972/ 323 -8917 (Larry Redick) (344 - 8377) or
VERIZON COMMUNICATIONS www.texasonecall.com
972/ 318
527
14. Contaminants must be removed from work area daily and disposed of properly outside the City.
15. Streets, sidewalks and alleys must be kept clean of construction material and debris.
16. "Clean -up" requires returning work area to pre - project condition or better.
17. Contractor is required to contact Public Works Division for Completion Verification Notice. (see pg. 4)
Page 4 of 4
T H E • C 1 T Y O F
C6FFrnI
�mIY" 9
9 5 1
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 Gd ppbW. «n
Project Location / Applicant's Work Order # (if applicable) 1i1fL4 -(- -
�h`1T of ) Too - A � RP P
Sub - contractor Company Name K - , (,0 ) pwGTlpt
24 hr. Contact Number 940- 3 ,7- g 3
Date of Verification Appointment
Time of Verification Appointment
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL
❖ Inspected by of UTILITIES Maintenance Division on
and found to be acceptable / not acceptable because
Follow -up needed? NO / 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 Fax: 972 - 304 -3570
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EXISTING LINE LOCATOR CONTACT NUMBERS COORDtNA TION NOTES.
CAUTION !I EXIST. 30 WATER MAIN PARAGON CABLE (214)259 -1500 1. EXIST. 30' PkEIENSIONED CONC. CYLINDER PIPE, CL150
CONTACT CITY OF DALLAS WATER LONE STAR GAS TREATED WATER SUPPLY LINE PLAN PROFILE STATION
DEPT. 0 670 -8963 PRIOR TO GTE 1 - 800 - 344 -8377 To STATION i
CONSTRUCTION EXIST. SANITARY SEWER LINE F) WER M OVND ) MUNIGPAL UTIUTY DISTRICT NO. 1 I. I
` FUTURt STREET TEXAS NEW MEXICO POWER CO. (214)317 - 5110 ( a DALLAS WATER UTILISES FILE 685W NO. 678.
\ CURVE SHALL BE TELEVISED FROM
e 4131 - s1'•s DALLAS WATER DEPT. RE: 30" MAIN (214)670 -8963
q 14 R - S66.alr CITY OF COPPELL 214 304 -3545 6 +36.16 LINE - B - TO 0 +00
<. T - , 111.24" ( ) LINE C" 3700 L.F. ± 2. PROPOSED 16" 250 P.SI. DUCTILE IRON PIPE
^ - - - -"" -" FOR CITY OF COPPELL, DENTON TAP ROAD
>} C1/4'6. L - 3ss 32'
(:HD .• SBe2r1J - F 357 75. T. D.O.T. (MR. HURRAY ALLEN) (214)320 - 6648
`\ �� os PROJECT NO. ST. 94- 01 -WA, SH. 7
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0�, , 1 1 3. G.T.E. CONDUITS - SWAY (6 -i PvC'S)
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--------- r-, - - _ g TAKEN FROM PLANS FOR LL. WATER UNE
_ PLANS FOR CITY OF COPELL, DENTON TAP
I / r ~-� _ FUTURE STREET ROAD PROJECT NO. Si. 94 -01 -WA SH, 7
NZ \ €CURVE ,�
+ R .300 00'
_� Vii �_ '� .• AS W- / 5.1i'
CONTRACTOR NOTES:
_ I - •12 �-�f
i� / �- "- .... ��- F(f7•. o q .. S71'04'20'1 401.14' / / / ` O `� 1. UTUTY CONTRACTOR SHALL BE RESPONSIBLE FOR
i _,' _ - _ _ _ -- \��VRE -\\ _.---,__. / r a t.
\ _ / - - - 4 -_ � __ � .17)k. / / / 6� •, INSTALLING, MAINTAINING AND REMOVING TEMPORARY ,
- V ' / _ __---- i R YP - Y - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ `\ '� C_ � ^ } (SO . _ - _.� / A MINIMUM OF
C � • � A A M 7-1 E BARRIERS SHALL BE PLACED MINIMUM OF 25 FEET FROM THE BORE
gg c PIT TOWARD ONCOMING TRAFFIC LAN ES ANO (W - �, E 1 \ O}y _ '- -- _ / 5 FEET PAST BORE PIT (80TH BORE PITS).
���\ - - A .----
� - � _ p er _ -- - = = = i J / // � 2. UTILITY CONTRACTOR SMALL FURNISH FLAGMEN FOR - TRAFFIC SAFETY DURING EXCAVATION OF BORE PITS,
g7 N � = �'
DURING BORE CONSTRUCTION, EQUIPMENT REMOVAL AND
I 6 O �`� -L - _______ . -__. ._ 2-- D +00 - LINE - G CONNECT BACKFILLING.
5 +00 -LINE - C - CONSTRUCT 5.0' DIA. TYPE ti '' _ I TO EX. SAN. SNR. MANHOLE 1 UTILITY CONTRACTOR SHALL PROVIDE ADEQUATE
LA S MANHOLE I j _ -- _ -
/ / " - - - TRAFFIC SAFETY EQUIPMENT THROUGH ALL PHASES OF
V 20' SAN. SWR. ESMT. THIS UTLTY CONSTRUCTION. '
\ \ V SAN. SYNC FE CURVE c., ~ Lf - 3926'47' 4
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4 UTILITY CONTRACTOR SHALL BE RESPONSIBLE FOR
O FOR FIELD VERIFICATION OF ALL EXISTING UTIUDES $ I
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INSTALL 40 L - T = 179.25' SAN. S. f CURVE PRIOR TO CONSTRUCTION. i •
I a )12 SAN. SWR. BY L = 344.24' 0 - 4747
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`. \ DRY BORE CHD \ N69'3Y04'W 337.48 R - 522.43'
r8+48 - LINE - C - \ ii. T = 204.70' SAWCUT, REMOVE
LEND & CAP L = 390.20'
C ND - N7117-29'W 381.19' 8 REPLACE EXIST.
CONC. FLUME BEND MARK: e
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-- - - -' -- - -- CORPS OF ENGINEERS CAPPED MONUMENT 'N
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■ A MEDIAN CAP DENTON TAP ROAD STA.
AUTION !! EXIST. 16 WATER MAIN CONE 203 +00 AT ENTERANCE TO ANDREW BROWN.
g, CONTACT CITY OF COPPELL JR. COMMUNITY PARK. ELEV. 464.94
0 304 - 3545 PRIOR TO CONSTRUCTION •' CUT IN CONCRETE BY WATER METER 180'
RT. DENTON TAP ROAD STA. 223 +94 SOUTH
OF EASTBOUND FRONTAGE ROAD S.M. 121
8 +00 6+00 5+00 4+00 3+00 BYPASS ELEV 46502
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