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Arbor Manors 4R2-PT121115 IA copy of the approved permit must be on the job site at all times. CC: Applicant c ` �' r Page 1 of 4 Public Works COI"PELL Permit File Rev. 06/2012 Orig. toProjectF' e i `A '- +-J`�- ' Al 1 7 RCV�� D I :tea: Cl i~ 11.\ 1 c 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: 11/9/12 Applicant's Job # / Work Order # 9PF12TM 105 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 El Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) Project Name/Location or address 143 S Denton Tap Rd Coppell General Contractor Henkels & McCoy Contact# 972-512-2900 E-mail address to return permit martinez.mike@verizon.corn & paul.m.messenheimer @one.verizon.com Representative: Paul Messenheimer Frranchisex Telephone#: 972-318-5186 Company it E-mail address:Paul.m.messenheimer @one.veri zon.corn (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 r Time Warner Cable C CoSery Electric/Gas C Other WORIMANYMOINNffigER General Description of Work(In accordance with Ord.No.2001444):PLEASE ATTACH PLAN OF PROPOSED WORK Directional bore 330'from an existing 2'x3'handhole`and place 1 5"HDPE conduit to customer provided conduit located at". 143 S Denton Tap lid Place a new 2`x3'handhhole and connect customer conduit.Pull terminal tail to provide Fiofor customer. Estimated Start Date 11/26/12 Estimated Completion Date*12/26/12 * 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:Will make contact 48 hrs prior to const. C Yes (■ No )>Is removal of existing streets, alleys, or sidewalks necessary? C Yes (• 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 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 @ 972-304-3512 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 3:30 p.m.ONLY unless otherwise approved by City Engineer. ➢Attach Work Order(franchise only)and/or 1 set of prints showing proposed work. Locates for existing franchise utilities must be done 48 hours prior to beginnin work For C , ,utility locates,.call 972-462-5155 to;schsrlule 48'hours.prior,to beginning work. 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. Printing your name indicates your acceptance of the terms and conditions of this form: (if you want the approved permit returned via e-mail,provide a valid e-mail address on Page 1.) Mike Martinez 11/9/12 Signature of Utility Company Representative Date Cliff Stephens 11/9/12 Signature of Contractor Representative Date L ( I2- .rri S gna r o ity Representative 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. •3628521 (09) -0 •3633326 (11) .3- M•919771 1300'2 7058 1300'2423.40 755'2423.40 PIREL LT NONARMOR 48-SM •28419 2441.111 lee) PIREL UT RIB NO ARM 96-SM ® 84 14•[011116 s B (H3010.145-151) H3010,153-156 441`18'v.v - •4 (X00.5-11) & o XDD.I-7 0--COUNT CHANGE H3010.145-151 4-COUNT CHANGE ® <h7'1 et6�"ca'Iws�l °C •1152 10 765373 1911)-• H3010,152-152 •••6 719.2429 7.131492 e'v-r DENTON TAP RD S Ca:\SL 24226 La 2Q472.1 XDD,12-48 SL 9258 1112 .18713 X00.8-11 •226a61625 2441.10"' •260161124,1.15(AID 0 115.1-23 CI3.1-1175 <7E110>M•COReST 8484 Ye <7E110>war en MM e9 I MM 3 %50.761-776 clzlzel-1.66 H3010,157-240 y2" [6.276-776 [12 1176-758 69 r-r cx7t1app,76.11118 [2 eIN5211 / 0_ 98 NSI-1814 .3597759 184)-• M•292492 25784 1741.- ASP 151111-24 2422.24 • ® 6'1224.215 00,11 0.0.0...) 0 0 0400 012.17.1.1110 EL 22 OS. •••"' 0;• Of) j•�• 7100.1.1-e1 TO 010103D 0,0.0 0.0,0 0,0 0.0 R. 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TEST MH FOR GAS B4 ENTERING AND VENTILATE NOTE AREA 31 VERIZON 9TS AREA STATE: TX REMOVE H3010,145-151 FROM IPID 3628521 DIVISION: NORTHEAST IExCH.:5647 REM.CD.: 005 KILOVOLTS AND SPLICE TO IPID 3633326 IN MH 89. E-.---- . w.C.: 4620 IWO NO.: 9PF12TM CONTROL NUMBER: 105 �, iiXr SAM TITLE: 143 S DENTON TAP RD TAX DST.: • _ Ji" 1 . .. pRl9wtr VOLTAGE / E\E //\ THINK SAFETY uT.usE)OuR..)Ta TWP; • I RNG.: • 'SEC.: • SAL: XXX WORK SAFELY 95 DATE: 11/07/12 IREV.DATE: SCALE: N/A /' "-Y\ 0 EXPOSED DRMN ENG APRVD PRINT ILEMISVILOL SDUTH FILE: MP1 MM MM 1 OF 3 BD SEE PRINT 3 BB ef "3628524 — , , *3628524 (09) — I ( 1' 330' TYPICAL DRIVEWAY BORE PROFILE:NOT TO SCALE M°919770 I 2976' 2423.40 -- PIREL UT RIB NONARM 72-SM i 1152 (H3010,145-151) / •3646221 1000' TERM TAIL I PLC 1.5- I XDD.1-7 —COUNT CHANGE HOPE CONDUIT DRIVEWAY Pt H3010,152-152 / _ 1 XDD,8-11 0 I 0 H3010.157-240 / / SPLICE TERM TAIL W - I IN EXISTING HH I N el I CC I I 6-FDT-MDU EXISTING 2X3 HH—D 1 VERIZON 1.5'DUCT 1 ~ 1 •3633328 2423.40 (11) L.) I I 175 S DENTON TAP RD I a I ,T°13633328 0G W i 156 I I X3010,1653-156 a'c I I i I 0 .�LQ I 1 ( ! I Z, C I M•202980 (89) o— DIR BORE DETAIL 424' 2421.10 1 I 175 S. DENTON TAP RD I II N I AE 100-19-150 1 EXISTING CONDUIT : • ■.__./ C14,511 169 M / I I I N I (C2,2170-2170)<14> 1 •3626802 o- XDD,70-70 <PP> / I I ' Li 0 C2.2171-2200 1.5 •CONDUIT N' wF160 i I I I a Si.e / I I I 1 \A'gFwoO /' \ °3633326 o— I ZC7 I BRAEWOOD OR 0 N Oq 1 — — — 1 w N / - - - 0 I 115 N I '\ cn M*8705705811) o— AA AA '_, 1300' 2423.40 \ / MANHOLE DETAIL�I �� 1 PIREL LT NONARMOR 48-SM o� H3010,153-156 co, (XDD.5-11) - II I H3010.145-1514—COUNT CHANGE 103 - - XDD,12-48 GENERAL NOTES _ ICONITTNiCTION vM TiIS ROIECT WILL I oo*ownvow kg TIE ROMEO ALES MO 3628521 I- — ' ROLATIORAIORS NOW'LL U RAID Mob PA.r.A4 MUM IT STATI lTT$O Cawn. LLL CONITIICTION IILL COMO TO TOWN MUMS. "3628521 (09) --t> ' VIER rams OMEN STATLCOMTT.TONMO.CITVMI.NOTO a COTENNONTag MOM AR M•919771 I I NIOAEOALL WOO TITRpMED WILL CO .T MTN NOM MINCES STAMMO VICO NO WIT! 755' 2423.40 VACLRIs MR TTATTIO aloe*woks TT.Ms ow vino o:SPNMnownE omit PIREL UT RIB NO ARM 96-SM mama re DIM OF PTLIT IS To OE TENEO UT TIE PLACF4 COMIWCTOI.T/E RAM (H3010,145-151) I L' I oposiolot TO CO SOluCTKa STMRT fTATI,CaMTCITT MO tL OMIT urLlrr tOOwss+O Naves waOl XOD.1-7 COUNT CHANGE IAL AowT 0 WTf eau s RSTOED To TN oIOOrL at UTTER comm. H3010,152-152 SJ+wmrON TIM WNW IN TIE ROOD UMW!WOW E1cMrATON MO risk vLAEIEM s XDD.8-11 I I MOON MS•NOT I►TIE MOLL KW MOOS Or EXCAVATED• GKIL H3010,157-240 ` ' I92' B- ' rag POEM EMU Nov a A at to mom.vin mass M snawaso CAAAL EUXOTION OT POLITIES Is TIE UPIlEULITT O TIE CMTMCTM WIETIEI ON NET WON 1P0' R.O.W.LIATIOs OE SOWN ON TIE REEL 215 14'-i, Q 14' am.mow To PrkITES w nE canes OF TIE win INN•I MUM Or TK CoMTOCTON S DENTON TAP RD AT Irs ow IIV[IEI. 2-STORY BLDG I I Wawa or us!swain I snowy via!ALL TOOL MAO MOO ROOM ON EECAVATON MOTIONS OILTUQIOO•O PACTS IICO NEWO MO Malay TO UK SIMM S GAMS Rosso M IIICMATEO IIMLL N RIOOTLT MOM mom TIE MOAT OP WT. IIAL odouss M mums EAT S now ammo N UNION EIOUEETEO. Isxon noun MO W•RI SONS K OEECTIO N UNION vNCTIRL I I BALL CAKES MC M ALE TOE IS IOU POJAlD AT TIE EIOSMO SDIE[O TOaOO T TIE TOOL IAJER ALL IIIPCLEU01RIEMT.00 POIavEL PTT+OF IA•IIOTO ROAM MLL TOES. NOTE AREA = VERIZON 9TS AREA STATE: TX DIRECTIONAL BORE 330 FEET OF 1.51 HOPE DIVISION: NORTHEAST IEXCH.:5647 REM. CD.: 005 CONDUIT FROM EXISTING 2X3 HANDHOLE KILOVOLTS W.C.: 4620 IWO NO.: 9PF12TM CONTROL NUMBER: 105 AT 175 S DENTON TAP TO CUSTOMER � �.. -� PRIMARY Y T TITLE: 143 S DENTON TAP RD TAX DST.: • PROVIDED CONDUIT AT 143 S DENTON TAP. THINK SAFETY TWP: • I RNG.: • 'SEC.: • SAL: XXX TE tJT.USE1 t8tit.JT.1 PULL TERMINAL TAIL INTO CONDUIT TO WORK SAFELY CUSTOMER TELCO ROOM AT 143 S /�N DATE; 11/07/12 IREV. DATE: SCALE: 1'=50.00'DENTON TAP RD. BI� 0 EXPOSED WP2 DRWN ENG APRVD PRINT LEWISVILLE_SOUTHI MM MM 2 OF 3 I ' *3626802 (89) 4- *2000871 (05) -0 M*202980 AE M 8280980 Mi 1 092'•R.OJWB-f-i AKF. ►I 424'1 100-19 2421.10 184' 2423100-19.10 I SCHLOTZSKY'S I I 14'i1 -, I.-14' C14,101-150 C14,101-150 02,2151-2169 02,2151-2200 ' (C2.2170-2170K14> I I XDD,70-70 <PP> *3627084 (08) Q- 124 120 C2,2171-2200 M"280480 318' 2423.10 1 I AKF 100-24 132 I I DM BORE DETAIL XDD,511102000 JUNIPER DR I x - milli *2000871 - I I \ PLC TERM TAIL *3627084 a- INTO CUSTOMER MH 88 I 1.5 'CONDUIT 1 PROVIDED 4'CONDUIT O __ 1 136 265' \ \ I Q I I 11 141 Ch *3628524 o- \ \ (2)4'CP PVC \ I I I *3628524 (09) o- \ \ 11 M"919770 SUITES! N N TAP RD ` \ II'.1 I 2976' 2423.40 \ \ i X00' \ 1 PIREL UT RIB NONARM 72-SM \ PI ACE NEw 2.3 I I ' II (H3010.145-151) \ \ PLACE I E.EXTEND 1 1140 XDD.1-7 COUNT CHANGE H3010,152-152 I I CUST COUIT TO I I 1 NO NEW IW(ONOLE. XDD,8-11 I I 1 I I CC 145 O H I w I g I I o i a cr I I a I I '# 3 z I I I 1 ��.m I o a z w 1 I I 1 m%,°' 1 o I 144 I I © 1 4a��■94,0 w 12-FDT-MDU �'~m m 149 I I 1.3646221 2423.40 (12) 14`n^)41 143 S DENTON TAP RD 1 1 H3010146 151 I I XOD.8-12 I I a I Li I I I I C 1 148 I I "3626802 o- I I N 153 I I 1 I I 1 1 01 PLC 1.5' 1330' 1 I 1 HDPE CONDUIT Qi I I 1 I I I I I I I I BD SEE IRINT 2 DB L VERIZON T TAT 9 s AREA STATE: TX NOTE AREA DIVISION: NORTHEAST I EXCH.:5647 REM. CD.: 005 �i!�ii�, KILOVOLTS W.C.: 4620IWO NO.: 9PF12TM CONTROL NUMBER: 105 IT- ' 114' RAM TITLE: 143 S DENTON TAP RD TAX DST.: • TWINK SAFETY PRIMARY VOLTAGE TWP: • I RNG.: • ISEC.: • SAL: XXX WORK SAFELY (JT.USEI(BUR.'T.1 ,R7757., DATE: 11/07/12 IREV. DATE: SCALE: 1'=50.00' EXPOSED DI0103D FILE: WP3 ORWN ENG APRVD PRINT LEWISVILLE-SOUTH MM MM 3 OF 3