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Westhaven 2-PT150514RIGHT-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: Applicant’s Job # / Work Order # 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? Utility Company Represented: Oncor Electric Delivery Atmos Energy Verizon SBC/ AT&T Time Warner Cable CoServ Electric/Gas Other Estimated Start Date 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 No Is removal of existing streets, alleys, or sidewalks necessary? Yes No if YES, project must have City inspection prior to concrete replacement CC: Applicant Public Works Permit File Orig. to Project File Page 1 of 4 Rev. 06/2012 A copy of the approved permit must be on the job site at all times. Yes No General Description of Work (In accordance with Ord. No. 2001-944): PLEASE ATTACH PLAN OF PROPOSED WORK Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) General Contractor Project Name/Location or address Contact # E-mail address to return permit E-mail address: Telephone #: Representative: Franchise Company: (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) 05/13/2015 150163 05/25/2015 06/25/2015 Locates to be requested 48 hrs prior to construction Beginning at the SE intersection of Bridge St and Springlake Way, bury CATV 78' in ROW of Bridge St. Turn NE and continue route for 52', then turn SE and continue 30' to enter subdivision. Westhaven Ph 2A Bridgepoint Communications, Inc.817-372-1508 joe_toone@kinetic-eng.com jose.galarza@twcable.com 214-406-7140 Jose Galarza 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 beginning work. For City utility locates, call 972-462-5155 to schedule 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. 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. Comments 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.) DateSignature of City Representative DateSignature of Contractor Representative DateSignature of Utility Company Representative 05/13/2015Mike Lucas 05/13/2015Jose Galarza Scott Latta 14 May 2015 UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are minimum requirements for utility relocation projects: 1.A copy of the valid approved City of Coppell permit is required on the project at all times. 2.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. 4.Follow Texas MUTCD standards for work in traffic zones. 5.Sod is to be replaced when necessary. 6.Irrigation repairs must be performed in a timely manner. 7.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. 9.Densities may be required in trench lines (ASTM). 10.Care and repair of street signage is the responsibility of the contractor. 11.No work is to be done in collector roadways before 9:00 a.m. or after 3:00 p.m. 12.Prior notice of work activity on weekends and holidays must be in writing. 13.Line locates must be performed in advance by contacting - 1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-operations-division 972/ 462-5155 CITY OF COPPELL ENGINEERING DEPT. 972/ 304-3679 HOMEOWNER ASSOCIATIONS 972/ 304-3678 (Planning Department) TIME WARNER CABLEFEDERAL EMERGENCY MGMT. ADMIN. 214/ 320-5455 (Mike Rasmussen)940/ 898-5138 AT&T LOCAL NETWORKTEXAS COMM. on ENVIRONMENTAL QUALITY 214/ 215-3031 (Rich Millenman)817/ 588-5800 COSERV Gas & ElectricDENTON CO. LEVEE DISTRICT 940/ 321-7800 x 7624 (Greg Ward)214/ 352-5118 (Richard Hightower) EXPLORER PIPELINEAtmos 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) Page 3 of 4 Page 4 of 4 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 Project Location / Applicant's Work Order # (if applicable) Sub-contractor Company Name 24 hr.Contact Number Date of Verification Appointment Time of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL 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 Office: 972-304-3679 Fax: 972-304-3570 Follow-up needed? Follow-up scheduled for Yes No and found to be acceptable / not acceptable because of Streets Maintenance Division on Inspected by and found to be acceptable / not acceptable because of Utilities Maintenance Division on Inspected by Follow-up needed? Follow-up scheduled for Yes No Time Warner Cable Westhaven Ph 2A / 150163 Bridgepoint Communications, Inc. 817-372-1508 Submit by E-mail Print Form RAKE OFF A RAKE OFF QTY RAKE OFF QTY TRENCH & PLACE CONDUIT 129' PULL THRU EXSITING CONDUIT r R & R CONCRETE SIDEWALK BORE & PLACE CONDUIT 31' R & R CONCRETE PAVEMENT DIRECTIONAL BORE PLACE 4'X4'X4' MH I BORE & PLACE 4" PVC I PLACE VAULT AERIAL NEWBUILD BORE & PLACE 4" SCHED 80 PVC I IPLACE PED I I AERIAL OVERLASH ROPOSED ROUTE � � - - • - F _ - _ 1 "4 F r- _ -� �� � � -l.. Ord h 0 ..>♦ - _ • _ �,-r rte, ^ �[ °�+Y T /. . t c �•. ► ' ' + �,J�i t +�, .1'' l .,y' "�' r ....r r� '- r Y'�' � r .fir a'l. a �' ti't'ss`f. ♦ � �'*� _ � '�c � a 4yS. • ; '4-r 2 ' 4 ` � a � ` i$ s � �qq� '`5, '9.. ', . :: Y�.� J 1 1� _. � -- � ,.k is- � � _ i .. . n � d... ±'�i.�R'!1;� '�- M r *. S+'�t2: `f� �-+i .:w,�'w ''.•� Y.+ w j '�uw' _ �, .� .rte q��r'.* rt' 1 a'�_ ✓_ t T ����'��,,,.•�, _.a f - y. �� � ��,�y ��r�11 t "fir Y'?;i a �/ '- • g.t } t -. sus r ""; �_'# fi 5T- �' .i• - - +r y r!'- !p1 r "`?r•'�" �8- - faa. +_`- *,� ''� }y _� jk V,y¢7L.'.� J .' f •'' 1 •._ /♦ 4 �iim.' � - 4 a m. `. . f i ` TY 1 k � )' � (' � � =.r` �:: p� +}y_ -� y n�{f ;, _ ._ �- - • i' �', >' . t�' _ Y f t f � cif" a •� ..r/ D. �' ,r �f` i gain­ - :e a 4 • went � � -'��• � �` - —__ z - ___ f _: - - � nt -fir - _ �� � f e _ v , . Lip RAKE OFF QTY RAKE OFF QTY RAKE OFF QTY TRENCH & PLACE CONDUIT 129' PULL THRU EXSITING CONDUIT R & R CONCRETE SIDEWALK BORE & PLACE CONDUIT 31' PLACE 3'X5'X3' HH R & R CONCRETE PAVEMENT DIRECTIONAL BORE PLACE 4'X4'X4' MH R & R ASPHALT PAVEMENT BORE & PLACE 4" PVC I PLACE VAULT AERIAL NEWBUILD BORE & PLACE 4" SCHED 80 PVC I IPLACE PED I I AERIAL OVERLASH PERMIT FOR NEW BUILD 150163 Westhaven Ph 2A_Coppell Bridge Street, COPPELL, TX 75019 KINETIC SOLUTIONS LLC. 4@iu `m KINETIC 1585 JAMESON RD. C A B L E SOLUTI VAN ALSTYNE TX. 75495 LLC 888 - 519 -9188 PROPOSED TWC UG RUN .625 COAX IN 2 -1.5" HDPE. MAINTAIN MIN. OF 42" COVER. MIN 2' VERTICAL & 2' HORIZONTAL SEPARATION REQ'D 01 +3o'ruRN BETWEEN EXISTING CITY UTILITIES. P 3' 01 +60'ENTERING 3'`3 \\\ \ / 20' / \� C�� 5Q „ 01 +17'BOC ENDING ENCASEMENT 0 +00' TIE TO NODE 0 +78' TURN NOTE: THE FIBER COUNT OR COAX SIZE IS BEST ESTIMATE, ACTUAL SIZE NOT KNOWN UNTIL DESIGN IS COMPLETE *NOTE* FOR PERMIT PURPOSES ONLY. DRAWINGS BASED ON RECORDS CALL FOR UTILITY LOCATES PRIOR TO DIGGING. PROPOSED TWC UG RUN .625 COAX IN 2 -1.5" HDPE. MAINTAIN MIN. OF 42" COVER. MIN 2' VERTICAL & 2' HORIZONTAL SEPARATION REQ'D BETWEEN EXISTING CITY UTILITIES. 0 +86'BOC PROPOSED TWC UG RUN .625 COAX ASEMENT IN SCH 80 4" PVC. MAINTAIN MIN. OF 60" COVER. MIN 2' VERTICAL &2' HORIZONTAL SEPARATION REQ'D BETWEEN EXISTING CITY UTILITIES. 0 +86' BOC 0 +83' CROSS 4" RCP 01 +01' CROSS 33" RCP 01 +17' BOC 01 +20' CROSS 2" RCP RAKE OFF QTY REVISIONS 129' N0. CHANGES DATE BY 31' DIRECTIONAL BORE BORE & PLACE 4" PVC Z. PLACE 3'X5'X3' HH PLACE 4'X4'X4' MH 3. PLACE VAULT PLACE PED R & R CONCRETE SIDEWALK R & R CONCRETE PAVEMENT R & R ASPHALT PAVEMENT 3. PULL THRU EXSITING CONDUIT AERIAL OVERLASH 8. 7. 9. 9. 10. o o Lo o m Q' N J z CL CL � CIL OLL � O 4 U � N I C/) CL �o Qi Q) L.0 "i v— m RAKE OFF QTY TRENCH & PLACE CONDUIT 129' BORE & PLACE CONDUIT 31' DIRECTIONAL BORE BORE & PLACE 4" PVC BORE & PLACE 4" SCHED 80 PVC PLACE 3'X5'X3' HH PLACE 4'X4'X4' MH PLACE VAULT PLACE PED R & R CONCRETE SIDEWALK R & R CONCRETE PAVEMENT R & R ASPHALT PAVEMENT PULL THRU EXSITING CONDUIT AERIAL OVERLASH AERIAL NEWBUILD 0 +00' TIE TO NODE 01 +30' TURN 0 +78' TURN 01 +60' ENTERING PH 2 480' - -- - -T —T - - -� 480' 4@�Lm.m / ° � �k CAB L E 475' — - - -+ RIDGE ST - -+ -- +-- - + - - - 475' I 470'E — — — + — — -I -- -- — — + — — — -I -- 470' DISCLAIMER INFORMATION IN THIS DOCUMENT IS I PROPRIETARY AND SHALL NOT BE I i I I I USED, REPRODUCED, COPIED OR 465' — — — — — — — — — — — 465' WITHOUTEWRITTEN OCONS NTNFROM KINETIC SOLUTIONS LLC. 460' 4601 PREPARED BY: 50' 0' 50' 100' 150' 200' 250' 300' PERMIT FOR NEW BUILD 150163_Westhaven Ph 2A_Coppell Bridqe Street, COPPELL, TX 75019 PROPOSED TWC UG RUN .625 COAX IN SCH 80 4" PVC. MAINTAIN MIN. OF 60" COVER. MIN 2' VERTICAL &2' HORIZONTAL SEPARATION REQ'D BETWEEN EXISTING CITY UTILITIES. PROPOSED TWC UG RUN .625 COAX IN 2 -1.5" HDPE. MAINTAIN MIN. OF 42" COVER. MIN 2' VERTICAL & 2' HORIZONTAL SEPARATION REQ'D BETWEEN EXISTING CITY UTILITIES. NOTE: PROPOSED CABLE TO BE RUN 48" MIN CLR AROUND OBJECTS IN PATH CITY: COPPELL COUNTY: DALLAS STATE. TEXAS 1 OF 1 DATE DRAFTED: 04/0912015