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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. Submit by E-mail Print Form