Magnolia Fish-PT140205 A copy of the approved permit must be on the job site at all times.
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CC: Applicant Page 1 of 4
Public Works COPPt Rev 06/2012
Permit File
u 13,)3:55 IN
Orig.to Project File
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AppRoyED RIGHT-OF-WAY USE PERMIT APPLICATION
Permit valid ibr 90 calendar days from date of approval
Submit permit application to the Engineering Dept.,Town Center,255 Parkway Blvd.or e-mail to engineer@coppelitx.gov(see button below)
Date of Submittal: EllatnOINgiiirt Applicant's Job if/ Work Order#PAP4:7P-7,33,:rr;':±.3 -,:l.>x:',..:;
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001-944: Certificated Telecom Provider? Yes C No C
J Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
Project Name/Location or address ,A0A.StigehlaBOASWAt 'WVilkii;MW:W:'j-i''67>q;%,N;2 ,.
General Contractor 9,7p:r OAcirlifeKi;::::111 Contact# 34:11.17;71,P.
E-mail address to return permit PfgetW„,i. °
Representative' F0.4"7., ,e(T:JillafititedintAIWYOVXMIO*A'irikiRROP:
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Telephone#: 1•7„::0,7,14';',7'1447"'.4`:'"A'lietirg!::: 1UltatIVAVAMPIVAVMSAPRiM6V.,
E-mail address:xt...:4L.talroyi: miloviwoxiv,i77wft,0*.
(for contact if needed/if e-mail of approved permit is desired/permit cannot bee-mailed unless complete)
Utility Company Represented:
C Oncor Electric Delivery C Atmos Energy C Verizon C SBC/AT&T
(i' Time Warner Cable r CoSery Electric/Gas C Other Igg:1,1:MIFF.Tfy.74, LEC,,..,:,'
t".lOrltttStCilPAM'gc!IVkt4.!:'''')!!EgZiadilt$dirhtaNIYaigAtti.6;ikiq:Sitadfiitfititfaftaia
Estimated Start Date PVtAVIIIV-5441 Estimated Completion Date*
* 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 Yes C No
Hs 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-Wav Use Permit Application „.. Pane 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 b restored to... go ti se?tditiQn as kefur the contn ncentgAt_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 fib 972-304-3600
Fire Department @ 972-304-3512
Street Department @ 972-462-5150
Engineering Department 0 972-304-3679
>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.
s � g w ; i„.,, °,., ... .i 0 k 4 t " t g.'°4° t.„1... ' a a y i i� .,.
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.)
Jeff ' r' .� A: x,1,4,.$ a�. eon &a';- �... r' _»..f i F t
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Signature of Utility Company Representative Date
Signature of Contractor Representative Date
.110 Al
.na r Representative Date
Comments
>NOl E': Notify City Inspector at 972-304-3679 prior to be rr narz.L.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 even 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.
REVISIONS
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--'–"'" ,; �,,, '' ' > INFORMATION IN THIS DOCUMENT IS
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19951 � °' 3f�erymD E' y Oj2013 32"5828.01 N 9/°0040 52 ,. -.-' _ eye 8It� 1001 It ‘,...--/
PROPRIETARY AND SHALL NOT BE
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-- ---. ------ USED, REPRODUCED, COPIED OR
DISCLOSED IN WHOLE OR IN PART
WITHOUT WRITTEN CONSENT FROM
KINETIC SOLUTIONS LLC.
FRF]'ARm NY:A
PERMIT FOR NEW BUILD
DID76978(SF425119)
217 N Coppell Rd
cin:
COPPELL
NOTE* cou m: DALLAS
FOR PERMIT PURPOSES ONLY. STATE;
DRAWINGS BASED ON RECORDS TEXAS OVERVIEW
CALL FOR UTILITY LOCATES DATE DRAF ED:
PRIOR TO DIGGING. RE'ISON:
REVISIONS
' NO. CIW81tS DATE BY
III
217 N COPPELL RD 10'
EOP 1+83' EXIT UTILITY EASEMENT
CONTINUE TO 217 N COPPELL RD
1+73' EXIT ROW o
1+71'CROSS 21" RCP 479' DEPTH
STS INLET �' 1+68' BOC / m
1+64'CROSS 12"WL 477' DEPTH 10 N
13'- W d• N
3'_ 2* - - U3_
-L----- DW -- --- z LL Q.
J - -- BOC IY (A o
}
12" WL O CO 0
I r N COPPELL RD 35 MPH] o ti
PROPOSED TWC U/G RUN .625 COAX ! 4' r Z
IN SCH 80 4" PVC. - - -—i - - 21" RCP c/L
MAINTAIN MIN. OF 60" COVER. MIN 2' ti N.
VERTICAL & 2' HORIZONTAL SEPARATION I 2' STS INLET 2 Q N
REQ'D BETWEEN EXISTING CITY UTILITIES. 1+30' BOC +I $ BOC
0
I
2 6 10' SW 0+06'TURN 3..
4_ � 0+04' ENTER ROW p..
- ---ii {r -.._,, -1 }- .- ❑ ❑ ❑ ❑ -c-- c st • . cr.._._ _ FENCE ® ROW
ALLEY 1 MIME 111111=1C. - 48" RCP
8, DW 2' - 3' I
2'-6" 2 18"RCP -20' RAKE OFF QTY
1+15'TURN/START BORE D\/\ r- 1\ * 0+00'SOP-RISER POLE PROPOSED TWC U/G RUN .625 COAX TRENCH & PLACE CONDUIT
BEGIN UG IN 2-1.5 HQPE. BORE & PLACE CONDUIT
MAINTAIN MIN. OF 42 COVER. MIN 2' DIRECTIONAL BORE )15'
PL \ VERTICAL & 2' HORIZONTAL SEPARATION BORE & PLACE 4" PVC
I
REQ D BETWEEN EXISTING CITY UTILITIES.
165 BRICKNELL LN \ 169 BRICKNELL LN — Ij-2'-6" 173 BRICKNELL LN BORE&PLACE 4•SCHED 80 PVC ee
PLACE 3•X5'X3' HH
2'-6'- -�
�O O2 PLACE 4'X4'X4' MH l.
me om PLACE VAULT
-< -< PLACE PED
O O R & R CONCRETE SIDEWALK
* R & R CONCRETE PAVEMENT
R & R ASPHALT PAVEMENT
PULL THRU EXSITING CONDUIT
AERIAL OVERLASH
AERIAL NEWBUILD
PROPOSED TWC U/G RUN .625 COAX PROPOSED TWC U/G RUN .625 COAX
IN SCH 80 4" PVC. IN 2-1.5 HQPE.
MAINTAIN MIN. OF 60" COVER. MIN 2' MAINTAIN MIN. OF 42 COVER. MIN 2'
VERTICAL & 2' HORIZONTAL SEPARATION VERTICAL & 2' HORIZONTAL SEPARATION
REQ'D BETWEEN EXISTING CITY UTILITIES. REQ D BETWEEN EXISTING CITY UTILITIES.
0+06'TURN CAB L E
1+71'21"RCP 3'COVER 0+04' ENTER ROW
1+73' EXIT ROW 1+68' BOC GRADE LINE @ CL
EOP 1+83' EXIT UTILITY EASEMENT 1+64' 12"WATER 5'COVER OF PROP. CABLE SOP 0+00' RISER POLE
CONTINUE TO 217 N COPPELL RD 1+30' BOC
485' IN COPPELL RDI 1+15'TURN BEGIN ROAD BORE 485, DISCLAIMER
---
INFORMATION IN THIS DOCUMENT IS
I I i PROPRIETARY AND SHALL NOT BE
I I I I USED, REPRODUCED, COPIED OR
- ■ I DISCLOSED IN WHOLE OR IN PART
480 -I_-.__ _____ __-__ .___ _ _ 4$0' K NETICTSOLUTIONS CONSENT FROM
I ' I I °"fi ""L 1_ll. I
PRFP,RFD BY
I I
475 ___ _el► - - 475' FOR NEW 6DID769 2119:
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I ( 217 N Coppell Rd
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I I CITY: COPPELL
470 I- - - -11- - - - - - - I ___ i 470
*NOTE* 470' COUNTY: DALLAS
FOR PERMIT PURPOSES DRAWINGS BASED ON RECOORDS 150' 100' 50' 0' THE FIBER COUNT OR COAX SIZE IS sure TEXAS 1 OF 1
CALL FOR UTILITY LOCATES BEST ESTIMATE,ACTUAL SIZE NOT DATE DRAFTED:
PRIOR TO DIGGING. KNOWN UNTIL DESIGN IS COMPLETE REVISION: