Royal Oaks-PT120518 A.copy of the approved permit must be:on the job site at all times
-:` T H E C f T Y O F
• CC Applicant Page 1 of 4
COPPE,I, CD
Public Work 3,d, 9 Rev R2/2R12 v,
r f -. : o
Original to LF/FIL,E x ,, a g
D D CJ RIGHT-OF-WAY USE PERMIT:APPLICATION
o
,& Permit valid for 90 days from the date;of approval u,
w
Submit permit application to Engineering Dept.,"Town Center,255 Parkway Blvd.CoppelbTX':75019 ' °
Date of Submittal: - /i8/i Applicant's Job#/Work Order# 3P A 95A o
PERMIT FEE: $100 No charge to franchise utility companies with ROW Use Agreement)
Refer to City of CoppelI Ordinance No.2001-944. Certificated Telecom Provider? Y/ / N
EMAIL ADDRESS FOR SUBMITTAL : engine_e_t cop en lltx ov �./
Plans provided and approved?(Erosion Control/Safety Fences must be installed prior to beginning work)
Near yi s 4r) /
Project Name/Location or address (A/5{ iotersec' oti 0r' Swn�Y �dl4�
General Contractor /-/d a 5/e/ eciyimukiic4,4'ans Contact# (214-)3 5 1,4-5-g 9 6
Email address to return approved permit
w ,. Representative: 54r� W/1kie
g Telephone#: 07Z) ig'- 2S': Emergency#:(Z/+)�S`IUD/
o Email address: $4t ,tUin kles k?aize.ve-e 10n o,n
" (for contact if needed/if email of approved permit is desired/permit cannot be emailed unless complete)
Utility Company Represented:
0 Oncor Electric Delivery 0 Atmos Energy GYVerizon 0 AT&T/SBC
0 Time Warner Cable 0 Time Warner Telecom 0 Other
General Description of Work(ie accor ance with Ordinance 2001-944)Provide 3 sets of prints.
c? ,^rni62, a cliA e clie et l bare 4Lif r -em ,w'/Ai 5i'e of
5 424 <., e 4 e. 1. e -au.- -der 6und . Leke _ - le
f _e in h/-5 eel/64 i. /f eccrf2; "i, .man / _Ake '. '43• Si•e .
Estimated Start Date.i 4.:.?.,t..,7 Estimated Completion Date*.."• .0/ /.
,Com" letion..ra quires:ins ection>and submittal of Com--letion Verification Ndo .:, 04...-,.,
ice:• a�e 4
p eq p {
P. p .g.
)Was City Utility p Utili Dept. contacted to locate existing underground utilities? Yes PrNo
If not, reason
tIs removal of existing streets, alleys or sidewalks necessary? Yes rj No
if Yes,project must have City inspection prior to concrete replacement.
Right-of-Way Use Permit Application Page 2 of 4
Representative(s)of the Contractor must adhere to all construction standards approved by the Ciry of
Coppell,which Includes but is not limited to: Erosion Control Ordinance,compaction requirements
(density tests may be required at the applicants expense)and barricading according to the
Texas Manual on Uniform Traffic Control Devices.
Affected area must be restored to same condition as before the commencement of work
(grading,drainage,vegetation and erosion control).
O'$ + ."Alta rx l +1 ': 'e ' ,!ll.Ittr ' +. 5.
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 n.m.ONLY unless otherwise approved by City Engineer,
•
Attach the Franchise Work Order(if applicable)and 3 sets of prints showing the proposed work.
ti Y Lh � r 'i r �y, lia of n v i yy ' °'f•
C4ea t4tk tAta tF.rlk1CgOki u4 Vritq? 191+ RP' ing}^iQ
1 ''v r4r� �.!ti 1 M\1 l'"� 4 1 ! e 4 J ^y x' .JUC�� a 7! •
)1 14 t';fagilr, ttiltYil ; 41i l a 'Wfign" ' attt# s pIM00 01kk >tIi 7 ' `
'l't. ivi"a dS dii.7�°44,41i eq,:a.;:t.. y ! s
}• p'.w3...1...r.♦)1,71'Af:a.:Z3.
This application with signatures gnatures of Franchise and Contractor representatives must be submitted to Engineering
Department for approval prior to beginning work.Submittals by email should go to engjpeera.coppelltx.gov,
If you want the approved permitreturned via email,provide a valid email address on Page 1.
Permit cannot be emailed unless all required signatures are present.
_ Ge►rh-y -for , -IS-201 Z
Signature of U."ty Company Representative Printed Name Sam W;tikies Date
_ "'''-�+"'"" ..,�._,_"._.,,, � ��.� •r NHS / � i
Signs + .of Contractor Representative. Printed Name Date
(<idAte( cfL7. - 8`11t/
• 3i ityRepresentative 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 of Coppell standards.
Applicant shall indemnify and forever hold harmless the City of Coppell against each and every claim,demand,or
cause of action that may be made or come against it by reason of or If in any way arising out of the closure,blocking
excavation,cutting,tunneling or other work performed by the applicant under permit from the City,if such permit is
granted
- k
U U
J
a Z
Z O
O i-
O
J
O
i- J
N
E
m
TN.I 11 J
■
\....,./
N Co \
N \
tV
H \
Q \
W (PROPOSED) ) \
directional bore \
0 4' PVC \
li
is
\
(exi'sting) Verizon \
handhole \
\
..g��/�-�-fj..............�-� 20/ ROW
I
20, RAW ' .. 1s• W/L (100' ROW) SANDY LAKE R D fL I 15'W/L -22L-Wk==-
Row •N- r� 1 01 -e = � !t__wt.vl —e_— %��_—___—_
SA. ——— tp — ~---! SAN SEWER
6• AN R •►e s. I °D• :• ABANQN<R •W/ — — 20' ROW
L
Row _�.... �..... r gym'..i:03—\--A............ .. • . �.
r1 m -...... Q
.W/L I PROPOSED VERIZON BORE
o ( o
I I (EAST) OF THE INTERSECTION OF HEARTZ RD o
Q
& SANDY LAKE RD
W
cr J
.
2
NOTE AREA VERIZON STATE: TX
(1) ALL UTILITIES WILL BE LOCATED BEFORE WORK IS STARTED ( REVISION ) CITY: COPPELL
(2) ALL LANDSCAPING WILL BE RESTORED TO ITS ORIGINAL CONDITION TITLE: (PROPOSED) DIRECTIONAL BORE EAST OF INTERSECTION
OF HEARTZ RD & SANDY LAKE RD
(3) TRAFFIC PLAN INCLUDED
DATE: 05/18/12 SCALE: 1':50.00'
• (4) ANY QUESTIONS-CONTACT MIKE GRAY/VERIZON ENGINEERING to (972) 318-3457 FILE: DRAWN BY: ENG BY: PR[NT:
MG I 1 OF 2
c:ldgn1462013PFAOSA1wpl.dgn 5/18/2012 1:15:22 PM
(100' ROW) >1
20' 20'
ROW ROW
z
SANDY LAKE RD SANDY LAKE RD
V curb (westbound lanes) median W (eastbound lanes) curb
8' water line 8' , A A A 8'wa r line 8'water line
water line _
N CSI
- d- d
T _ (0 - - � - _ ir-
d'
Coppell CO
Dallas
BORE - - -
4" PVC
V30` water line(s)
L___ 30' water ::::(s) _raer BARE 8'sanitory serer
t t .
N (Nf
MAINTAINING 24" MINIMUM SEPARATION FROM ALL UTILITIES
NOTE AREA DEPTH &
VERIZON I STATE: TX .
ctT
(1) ALL UTILITIES WILL BE LOCATED BEFORE WORK IS STARTED SEPARATION S CON
(2) ALL LANDSCAPING WILL BE RESTORED TO ITS ORIGINAL CONDITION TITLE: (PROPOSED)DIRECTIONAL BORE EAST OF INTERSECTION
DETAIL OF HEARTZ RD & SANDY LAKE RD
(3) TRAFFIC PLAN INCLUDED
( R E V I S I O \ ) DATE: 05/18/12 SCALE: 1'=50.00'
(4) ANY QUESTIONS-CONTACT MIKE GRAY/VERIZON ENGINEERING (S72) 318-3457 FILE: DRAWN BY: ENG BY: PRINT:
MG 2OF2
c:ldgn1462013PFAOSAlwpl.dgn 5/18/2012 1:06:15 PM