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GTE (Clear C2)-PT120807 A copy of the approved permit must be on the job site at all times. CC: Applicant -T_H : - , " v o F Page I of 4 ' Public Works COPPELL Permit File Rev. ()C`?t)1 0 Orig.to Project File RIGHT-OF-WAY 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.or e-mail to engineer @coppelltx.gov(see button below) Date of Submittal: 6/251 Applicant's Job ft / Work Order# 11(.)49 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? Yes C No C O Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) Project Name/Location or address clear C2 724 canyon; Drive , General Contractor PresbonKGeneral eontrac><oxs ;-I;LG Contact 972"991. 44:98 E-mail address to return permit I ardygprestoncompan bed-cod �> Representative: 96rtn# ePoPet 2501 N CF Hawn Frwy Seagoville,TX 75159 Telephone#: Supervisor 214-808-7634 Cell ' E-mail address: Lowe's Construction, LLC 972-287-1483 Office (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) Utility Company Represented: C Oncor Electric Delivery C: Atmos Energy C Verizon C SBC/ AT&T C Time Warner Cable C CoSery Electric/Gas C Other i�'3 � � '` t ��» I b esc pt q i 0 a» .•r c6 r' Ci2 �. rd .s.. ... rw .,s? . a�&':.HCY.&+P"a•^ae ,.s ,,..,..,, .. Q 3a t a �, o a aP IY a x tr a.! �-# .}-.{, fts Estimated Start Date ASAP Estimated Completion Date*ASAP e Completion requires submittal of Completion Verification Notice (see page 4) 1-Was contact made with City and/or utility companies to locate existing utilities? if NO, Reason: (I. Yes C' No 'iris removal of existing streets, alleys, or sidewalks necessary? C Yes C: 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 City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at applicant's expense)and barricading according to the Texas Manual on Uniform Traffic Control Devi,e . Area(s) affected must be restta3'ed to as good condition as before the con niencenien work. (grading, drainage vegetation,and erosion control). To schedule Public Works final inspection (Pag 4)call 972-462-5155. V >Any excavation requiring closing of a street/alley'must be reported prior to do 'ng to the following: Police Department @ 972-304-3600 Fire Department€11972-304-3512 Street Department CO 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 3:30p.m.ONLY unless otherwise approved by City Engineer. rAttach Work Order(franchise only)and/or 1 set of prints showing proposed work. t_ s 6 eX { t g �a 'Tv � g.b .e ". : t p for e r 1t ' © g r W il.�r�°� �S ,G;�,� t���2��i o id' .��.�. ° E� �`t# '...,�,. t- t . . The application with signatures of Franchise and Contractor representatives must be submitted to Engineering Dept.for approval prior to beginning work. Submittals by e-mail should go to engineer @coppelltx.gov. P inting your ame indicates your acceptance of the terms and conditions of this form: 1f ou vtan h p, r ved permit returned via a-mail,provide a valid tmai ad ress)man Pagel.) ignature of till y Company Representative Date isif Sign r(of Ciontractoi Representative Date glqtV2*"*- • ' ,- ' ..- Signat re o ' ity Representative Date Comments )"NOTE: Notify City Inspector at 972-304-3679 tri r to )e,ittnitt 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. V H t ; c r Y , o Page 3 of 4 COP F LL 403 q dka UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are minimum requirements for utility relocation projects: LA copy of the valid approved City of Coppell permit is required on the project at all times. /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. 4LFollow Texas MUTCD standards for work in traffic zones. &Sod is to be replaced when necessary. ¢,.Irrigation repairs must be performed in a timely manner. ',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. /Densities may be required in trench lines (ASTM). Care and repair of street signage is the responsibility of the contractor. 1 No work is to be done in collector roadways before 9:00 a.m. or after 3:00 p.m. =Prior notice of work activity on weekends and holidays must be in writing. 11 Line locates must be performed in advance by contacting- 1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.giw/utility-operations-division 972/462-5155 CITY OF COPPELL ENGINEERING DEPT. 972/304-3679 HOMEOWNER ASSOCIATIONS 972/304-3678(Planning Department) 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 Millenrnan) 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 972/323-8917 (Larry Redick) VERIZON COMMUNICATIONS 1 800 DIG TESS for line locates 972/318-5277 (344 -8377) 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) TN 1c • C 1 t Y . o !* Page 4 of 4 COPPELL 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 ems{ r� ,_M ,r 'rg,=' ':t' c�,..���5�`Ss.S_��i+tr.�s¢�.:�'Fwi+n!..�e��!.�`S ,t'r.Yi'�S�'d.�4Ktiif:,�sr eS.: ''4r, 4�,'ti::i Project Location / Applicant's Work Order (if e livable aea:ada"~' Sub-contractor Company Name L°"' 's .eon1 �. o ,; ,;; , -ea,, : It �� < � 24 hr.Contact Number �' �: � � Y %7 i4 : { ac Y�i..t'-?fidt,.:�'�tkTs.rrii?r�-�i`ft SY.�:'$�;cv.'1F1,"��+i•7.!tfjSiv Date of Verification Appointment Time of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL ••• t''.S�' <:'i &Y .i� l a ,fin,, „� ( ,,-t:" .Inspected by �4�,�,,..,,.,,�,,i,�,:�;ti�,�:, �.,�:;.:;r,:� of Utilities Maintenance Division on;,� ,•�;��?�,� �;�- ' and found to be acceptable /not acceptable because »k�rvsl Follow-up needed? C Yes C No Follow-up scheduled for ❖Inspected by , _ 1. : of Streets Maintenance Division on and found to be acceptable /not acceptable because K':ti: r.,:.._•�, Follow-up needed? C Yes C No Follow-up scheduled for A copy of this completed notice can be provided to the address below or e-mailed by using the button below: City of Coppell Engineering Dept. 255 Parkway Blvd.,Coppell TX 75019 1 Office:972-304-3679 Fax: 972-304-3570 4.104 [oftostites tr. UTILITY WORK ON HIGHWAY RIGHT OF WAY WITHIN Aro THE DALLAS DISTRICT elftwirimAWM ATMOS ENERGY is giving written notice of proposed work to take place within the right of way of $H 121 in DENTON_County,TX as follows: (Ohs general written damqtlion of Watioa sad work to in place-Do not write•ace deeded') Install new 2" gas main along Canyon Ln. , Coppell to new GTE Shared Services Building. Tie into existing 2" steel gas main in North Bound Frontage Road of State Hwy. 121. The work head above*prat t jggliggibliffiesing The lamination of way new Facilities,any work requiring a highway bole,major capacity improvem0nte,or upgrades- This welt is limited to repair of broken,damaged or**din equipment. minor mainteoence to improve a hum:km condition, repaidegpicc exutitrg equipment ranidag In Improper or poor performance,piscement of minor equipment for service upgrades(Lc repeaters,load coils,etc.).or minor adjustments to existing tbeihties(Ramovieg/adjusting utility pole locations or guy wires aioree Me rigiN Of Way.Wine). At no Ome ehaN say work aenvlly that Involves dag take place any dinar than 3 asst from the edge of pavement or back of curb. Our firm will use best management practices to minimise erosion and sedbnent a on pesaking from the proposed work,and we will revegeute the work area an Indicated wader"Revegebfion Spoon!Provisions." Our firm will insure that traffic control miasmas complying with applicable portions of the Timm Mane!of Urtfjbne li is Cowed Devkn,will be installed and maintained fbr the duration of this work(Approval of traffic control plans required by w ea/maintenamee office.) Refer to attached location imp and drawing far•more specific location a description of work activity. The undersigned milky representative agrees to comply with the terms and conditions set fbrth in this notice. The proposed work will begin oo the 2 5 t hdey of June 20 12 Atmos Energy Texas Department of Transportation Utility owner gy Denton Area offitx By(Print) Ron Hays 2624 West Prairie //'' Denton,Tx 76201 Signature R.(. # .Nancy P.E. Address 106 North adshaw G jirC Area Engineer or Denton, TX. 76209 Signauac phmic 972.919.1257 _ _ Z Z Copy of this document must kept on Joints* L e mgr M0'383-226y FAX# 972.233.2536 COPY OR T DOCUMENT Must tat Karr°n JONrrtt ATTN: Gary Diickin son �.. ! z Z g . IdA >‘22'/I' r 110. 4' ` ` I O c S. • ;)N 0 0 QQZ F 0 Z < w z :i Si / lisi V '• cnQ � w 0 1 o U • p W ? i • Z H N O = W C7 ° ` Z > Z O >- W p C/ $ C.` / d co W } z...0.N. V a Cr Z Z W U • 1- W - _ re W F- Z O / N O W �\ W Z 0 f c ix d z ti p �F," ' a c� ai z m z / U L . /\ NORTHWESTERN DR ■• 1\ ,(\/.• ) >_w Q z 2 W N 2w I It 1 W �� _ 41N Q' �! t= N rot C.� 1 M , r r. '�y fir ` t 0( . ii,,,iPt, f , . ;* (..: ..,n M. ,, w. ,'fig �,.�,. . '' a, i,.4 L'.A ' i • g 4 0 t. , a.: ,a # •i �► o n I • §...pi `j • 1! m Q "i� IOt RECESSED INLET BLOCK I 9' BLOCK • - T/C 491.20 • PC.32+21.63 5�P• • �t� `�� iv \-- PHASE I , \N, , PROP. S'ANISEWER . BLOCK I 0 0 30185 ` 0 E 54"482 65 0 PHASE I �i• NOTE TO CONTRACTOR t IL21"484.03 ° N BLOCK It • 0 PROP 8"SAN.SEWER. .—(f) MATCH ELEVATION OF EXISTING 2"GAS \ CAUTION SHOULD BE USED IN AREA i . ' MAIN AND TIE IN NEW 2"GAS MAIN PROP 12"WATER LINE °° OF EXISTING 4"GAS LINE AND 3 Q ALONG CANYON DRIVE. PROPOSED 12"WATER UNE Q CORPORAT7 PARK _ 3 (/) —= '°—s'=—"'—- --- —" W CO 1t STORM DRAIN CURVE DATA U W . . Z PROP.54" RC.P q \ ��" I Z R =400.W'39°41'44" iiii' - —J PROP 12"WATER LINE'.. . •1 = T =K43 , = 31,+00 U L •=277.13' • (_) 10 RECESSED INLET Chd =271.62' - • - T/C 491.56 1.3 .. Q 4 Chd B.=N68°3508 W _ t , 45°BEND PHASE I 5,10.76 BLOCK II ' P.T.34+98.76 45 BEND - - 4 .. 45•BEND 3500 5°BE ND • n PROP.48"RC.P Q •,7•_4 INSTALL NEW 2"GAS MAINTAINING A MIMIMUM OF 2` - - - I—PROPOSED 15'UTILITY EASEMENT BEGIN CONC.RIPRAP FLUME FEET OF CLEARANCE FROM ALL OTHER UTILITIES - XIST 2 T.•.• ESMT �r--� • _ _ — �� � EXIST.2'T.P 8 L.ESM'T- r U YVr--10' PROP.12"WATER LINE 5' �� , Q . ' " ROP.12°WATER LINi_� . SCALE / 75 LF-,"CORRUGATED METAL SLEEVE - / 3•" / I I / 7 SCALE 39+00 1 7 . END CONC.RPRAP If-EXIST.2'x3' CONC In=40'HORrz. - '-- ST. HWY. 121 - EXIST.IICADWALL IIMmOr _ I"=fi VERT B.M—60d NAIL IN P.P.ON EAST SIDE • 4 NI 95.31 ( CULVERT BOX COPPELL SOUTH 8 25' ,/ / 8 I j .% EAST NORTHEAST CORNER IRON PIN. SCALE ELEV. 482.14 - I"=40'HORIZ. I 1"=6'VERT. MM.-60d NAIL IN 2nd P.P.SOUTH - .. .. . COPPELL RD.B EAST SIDE 121. ELEV.49871 . 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