Prologis Park-PT150217T M i C 1 T V O F
COPPELL
A
EARLY GRADING / EXCAVATION PERMIT
IN
RIGHT-OF-WAY / EASEMENT / PRIVATE PROPERTY
City Contractor
Date: 02/17/201S
❑ ❑ Grading plans provided and approved.
(Erosion Control must be installed prior to beginning work.)
❑ ❑ Tree Removal Permit from Parks & Recreation Dept. required.
❑ ❑ Hold Harmless Letter from the Property Owner/Engineer/Developer is attached.
Project Name/Location: Prologis 121 Mass Grading/ 199 N. State Road,
General Contractor: Earth Basics Contracting Corporation
Permit issued to Company/Representativej3rian Colin
Address: 4012 Gateway Drive, Ste. 140, Colleyville, TX 76034
Telephone #: 817-349-6322 x3
Emergency Telephone #: 817-504-8217
General Description of work (provide copy of approved plans):
lite grading and drainage improvements
➢Was contact made with City and/or Utility Companies to locate existing utilities?
if NO, Reason:
C•` Yes (' No
➢Was contact made with Parks & Recreation Dept. concerning Tree Removal Permit?
if NO, Reason: (-e Yes (` No
➢Is removal of existing street, alleys, or sidewalks necessary? Yes t: No
if YES, Attach Bore/Street Cut/Saw Cut Permit
➢Is Floodplain Permit required? (' Yes (: No
if YES, Permit # or date of City Council variance
Early Grading / Excavation Permit Page 2
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 will be required at the applicant's expense), Tree
Ordinance 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).
➢Any work requiring closing of a lane of traffic, street, or alley must be approved
by the Engineering Dept. with notification to the following prior to
closing: 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 of 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.
➢A 2% inspection fee for grading is required prior to beginning work.
(Attach copy of excavation contract for verification)
Amount Paid $ N/A Date Paid / /
❖City inspector must be notified 24 hours prior to beginning work related to this permit.
Printing your name indicates your acceptance of the terms and conditions of this form:
Brian Colin
Signature of Applicant/Contractor Rep.
A,--
ighature of City Engineer
City Inspector for this project
02/17/20111
Date
Date
`'1V� n4 --"?'l o I
Contact Number(s)
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.
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