Park West CC(07.2)-PT120223 A copy of the approved permit must be on the job site at all times.
CC: Applicant T H E C i r r •o F Page 1 of 4
Public Works PFfLL
Permit File Rev. 07/2010
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Orig. to Project File F x 9
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5 02 -20 -1 2 P12 :58 RC■
D
/ l IGHTOFWAY 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: .2 - 7 r (2 Applicant's Job # / Work Order # 31 TS e 0 - 1
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise /ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001 -944. Certificated Telecom Provider? Y OP
❑ Plans provided and approved
(Erosion Control /safety fences must be installed prior to beginning work)
Project Name / Location: L. / �/� Val) / 9 W iZ2A) G lie De lve-
General Contractor: Contact #�
Permit issued to Company / Representative: / og / Al< f" lGiel e l,)
Address: 144 D o .3 Sett lNV Fi9r7r».Gvs 1 4A) ►-t, 1 (. - 75234
Telephone #: 4 24/ c26( Emergency Telephone #: 4/, - S5
Utility Company Represented:
WO ncor Electric Delivery ❑ Atmos Energy ❑ Verizon ❑ SBC/ AT &T
❑ Time Warner Cable ❑ CoSery Electric /Gas ❑ Other
General Description of Work ( POL� , rovide four 4] sets of plans): In accordance with Ord. No. 2001 -944.
..Zitisfet / - 45' E 5i Re /- 4" Svc
Estimated Start Date 3-1- I______ •
Estmated Completion Date* 3- 9 1 a
* Completion requires submittal of Completion Verification Notice (see page 4)
➢ Was contact made with City and /or utility companies to locate existing utilities?
if NO, Reason: LOG►5TS 4v t ll 6 poi S?ei) 4$ HowRs YES n ivtie
De0 Is removal of existin streets al leys, r side a lks necessary? YES n NOk
if YES, must have City inspection prior to concrete replacement
Right -o: -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 @ 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 /G X f 02 - 7 (,2
Sign. a H of tilit - e mpany Representative Printed Name Date
/ Al< A-rzt.4:4� - 7 (
Signature of Contractor Representative Printed Name Date
� / r i i� � (Y) lut4A - G /1 2-1/9 II't—
Sig a ui - of 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. 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.
Page 3 of 4
T M E c I T Y O F
COPPELL
7
-
X 4
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 3:00 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 -
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 - 3669 (City Secretary Office)
TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN.
214/ 320 - 5433 (Phillip Gwin) 940/ 898 - 5138
AT &T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY
214/ 215 - 3031 (Rich Milleman) 817/ 588 - 5800
COSERV Gas & Electric DENTON CO. LEVEE DISTRICT
940/ 321 - 7800 x7624 (Greg Ward) 214/ 352 - 5118 (Richard Hightower)
EXPLORER PIPELINE Atmos Energy
918/ 493 -5100 (Patrick Nwakoby) )
ONCOR Electric Delivery 412 — 34 0 .-L/ q 2 $ G-A4ey D ICfrl,So,J
972/ 323 -8917 (Larry Redick)
VERIZON COMMUNICATIONS 1 800 DIG TESS for line locates
972/ 318 -5276 () (344 - 8377)
5 z11
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.
Contractor is required to contact Public Works Division for Completion Verification Notice. (see pg. 4)
Page4of4
T H E C 1 T Y • O F
COPPELL
9
x n s , a
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
Project Location / Applicant's Work Order # (if applicable)
Sub - contractor Company Name
24 hr. Contact Number
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
TEXAS UTILITIES SAFETY HANDBOOK
SECTION 9 - Work Area Protection Page 16
Revised: June 29, 1998
— !T
UT0.trY
CONSTRUCTION
AHEAD 1
f ENO I
NOTES: f CONSTRUCTION
X / 1. Flashing warning fights and /or flags 1
may be used to call attention to the _-
advance warning signs and /or
equipment.
1 ! X Barricade or truck wit
1 ■ orange nags or
•
2. All distances and spacings shown are wa" "g "'S.
approximate.
I fg� o � j
3 < ( FORM
3. Taper Formula: a r ONE
% 1 ® LINE
L =SxW for speeds of 45 or more. LI x /2 LEFT
L. WS for speeds of 40 or less. y * The ne FORM ONE LINE
60 L sign may be used
following the LANE
CLOSE
4. The maximum spacing between r, sign;
p g however, the
channelizing devices in a taper should • g L haweve
approximate
be approximately equal in feet to the I ■ z sparing between signs
speed limit.
< Y must be maintained
5. One or more naggers to be used where 1 1
traffic, road conditions, or terrain
T
warrant their use. — 'z-
MD /
CONSTRUCTION "'L Y
Posted "X" Sign "X" Sign A RIGHT E
CLOSED
Speed Spacings Spacing X '{ AHEAD
(MPH) (Meters) (Feet) .1-
30 or less 40 120 1 1
35 50 160 1 1
40 75 240
\# 4
45 100 320
RIGHT LANE
50 120 400 I c.oszo
55 150 500 AHEAD
60 180 600
65 210 700
70 240 800
Typical Application
Minor Operation on Undivided
4 -Lane Roadway Where
One Lane is Closed
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