Park West CC(07.2)-PT120510 A copy of the approved permit must be on the job site at all times.
T 14. g • CITY . OF
CC:Applicant Page 1 of 4
Public Works . Rev,02/2012
Original to LF/FILE 4. 4 t 6 ••
RIGHT-OF-WAY USE PERMIT APPLICATION a-
(N1
App Permit validfor 90 days from the date of approval.
u permit application to Engineering Dept.,Town Center,255 Parkway Blvd.Coppell TX 75019 tc?,
Date of Submittal: 05/08/2012 Applicant's Job# Work Order 3FOAOHL
PERMIT FEE: $100 (No charge to franchise utility companies with ROW Use Agreement)
Refer to City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider?®/ N
DI1R1 SS FOR St IMI II U elii!irteer a
ij Plans provided and approved?(Erosion Control/Safety Fences must be installed prior to beginning st ork)
Project Name/Location or address. PLACE FIBER AND HANDHOLE/ 112 WRANGLER DR
General Contractor HOUSLEY COMMUNICATIONS Contact# 214-532-5090
Email address to return approved permit gregory.nmickverizon.coni
Representative: GREGORY MICK
Telephotte#: 972-318-5277 Emergency#: 214-557-3919
z -
Email address: lerrytateverizonlcorn*
'4. (for contact if needed/if email tif approved permit is desired/permit cannot be entailed unless complete)
Utility Company Represented:
o Oncor Electric Delivery 0 Atmos Energy •Verizon 0 AT&T/S-13C
0 Time Warner Cable 0 Time Warner Telecom 0 Other
General Description of Work(in accordance with Ordinance 2001-944) Provide 3 sets of prints.
starting at corner of Southwestern Blvd and Belt Line Rd,Verizon will place new fiber cable through
exiting manhole system until they reach 112 Wrangler Dr, At 112 Wrangler Dr Verizon will bore
a 4-in HDPE conduit from existing handhole to new handhole at customers existing PVC pipe.
Estimated Start Date Estimated Completion Date*
*Coinpletion requires inspection and submittal of Completion Verification Notice(page 4
rz0Was City, Utility Dept contacted to locate existing underground utilities? Yes 0 No
If not,reason Verizon construction dept.will call for locates
4,1s removal of existing streets,alleys or sidewalks necessary? Yes MI No
if Yes,project must have city inspection prior to concrete replacement.
Right-of-Ways 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 applicant's expense) and barricading according to the
Texas Manual on Uniform Traffic Control Devices.
Affected area must be restored to same condition as before the commencement of work
(grading,drainage,vegetation and erosion control).
To schedule a Public Works final inspection as required on Pane 4,call 972-462-5155,
le Any excavation requiring the closing of a street/alley must be reported to the following prior to closing
Police Dept. 972-304-3600 Fire Dept. 972-304-3512
Street Dept. 972-462-5150 Engineering Dept. 972-304-3679
Attach a barricade plan or trench safety plan if a lane or street closure is required. NOTE: Street
closures are allowed from 9:00 a.m.until 3:30 p.m.ONLY unless otherwise approved by City Engineer.
• Attach the Franchise Work Order(if applicable)and 3 sets of prints showing the proposed work.
Locates for existing franchise utilities must be done 48 hours prior to beginning work.
For City utility locates,call 972-462-5155 to schedule 48 hours prior to beginning work.
f
This application with signatures of Franchise and Contractor representatives must be submitted to Engineering
Department for approval prior to beginning work. Submittals by email should go to engineer ricoppclltx.e,oN:.
E> If you Brant the approved permit returned via email,prositle a valid email address on Pate I
Permit cannot be emailed unless all required signatures are present.
,� Gregory Mick 05/08/2012
Signature of Uti y Company Representative Printed Name Date
.A. ait•�.,dpi , e,,P'r a•'�,, /..).�+'',�". S / a-. •∎•Ze/ -"
Signature of Contractor Representative Printed Name Date/ �f
Signature 74 Representati‘c Printed Name Date
COMMENTS:
NOTE: Notify Engineering Dept. at 972-304-3679 prior to beginning work and for open trench, ditch or pit
inspection prior to backfilling. Backfill material must meet City r f Coppell standards.
Applicant shall indemnify curd.forever hold harmless the(Wyo.'s Coppell against each and evert-claim.demand,or
cause of action that aim'be made or come against it by reason of or if in any way arising out of the closure, blocking.
excavation,outing, tunneling.or other stork perii,rmed by the applicant under pernnt from the City, if.snclt permit is
granted. ,
T H E • C I T Y • O F Page 3 of 4
COPPELL
£ X A 5 1 B
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 OSI-IA 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
1 3. 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) 972/ 360-4428 Gary Dickinson
ONCOR Electric Delivery 1 800 DIG TESS for line locates
972/ 323-8917 (Larry Redick) (344 - 8377) or
VERIZON COMMUNICATIONS www.texasonecall.com
972/ 318-5277
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 I T Y O F
COPPELL
A S 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
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
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These Record Documents hove been prepaitir7/1/// C ' 41.DRIVEWAY i
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MA BOST aNADF),' WATER MAIN LOBERING/ADJUSTMENT MODIFY/ADJUST IRRIGATION SYSTEM 70 CONFORM TO
Professional has not verified the accuracy and/or f RRE HYDRANT RELOCATION NEW ROADWAY CONSTRUCTION; COORDINATE ADJUSTMENTS
completeness of this informatkin and shall not be
(SEE STORM DRAIN SHEET) W/CITY&PROPERTY OWNER. (NO SEPARATE PAY)
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resperisible for ony errors or omissions which may be •
incorporated herein as a result .
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35+00 36+00 37+00 38+00 39+00 40+00
VRANO-8
1NP PROJECT
& Added As-Built T/C MAJ 2/23/00 DAN SCALE CITY OF COPPELL, TEXAS CPL96164
* - * nolluZ
VERIZON PROPOSES TO PLACE A NEW 2x3 HANDHOLE ON TOP OF PAVING IMPROVEMENTS SHEET
* VERIZON LOWER HANDHOLE GM 11/18111
DESIGNED ft: mi7, =.11,L,, 1" vE=RT20' WRANGLER DRIVE
VERIZON AND CUSTOMER CONDUIT. VERIZON ALSO PROPOSES TO i5
* VERIZON PLACE HH GM 5-7-12 JPS 0 13-) The City Wdh A Beautiful Future
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DRAWN - BORE FROM NEW HANDHOLE STA 35+00 TO EXISTING HANDHOLE
PLAN & PROFILE
DATE vermeil OF
MAJ et 2 AT STA 35+30.
CHECKED MAR 1998 STA 35+00 TO STA 39+75 36
NO. REVISION BY DATE 1