DCT Fellowship- CS150902Y H i T Y o F
COPPLLL
A a %A
EARLY GRADING / EXCAVATION PERMIT
IN
RIGHT-OF-WAY / EASEMENT / PRIVATE PROPERTY
City Contractor p
Date..
❑ ❑ 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:
General Contractor. IMA14C LLQ
Permit issued to Company/Representative. _ .
Address:
Telephone #:
Emergency Telephone #:
:ienerai uescripuon or worK kproviae copy or approvea pians:
➢Is removal of existing street, alleys, or sidewalks necessary? (}Yes No
if YES, Attach Bore/Street Cut/Saw Cut Permit
As Floodplain Permit required? QYes to
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 $ ' 4� �' L Date Paid
❖City inspector must be notified 24 hours prior to beginning work related to this permit.
Printing your nam indicates your acceptance of the terms and conditions of this form:
Signature of Appl' nt/Contractor Rep. Date
Engineer
City Inspector for this project
Date
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
INSPECTION FEE CALCULATION SHEET
Project Name Date
As per the City of Coppell Subdivision Regulations, the Developer shall pay 4% of the cost of the items to be permitted and inspected by
the Engineering Department and dedicated to the City. The Developer shall pay 2% of the items to be inspected by the Engineering
Department, but not dedicated to the City such as parking lots, private utilities, private drainage systems and so forth. Inspection fees are
due on or before the date of the Pre -construction Meeting.
In order to verify the inspection fee due, please provide a copy of the development contract(s) and this spreadsheet with
completed calculations to the Engineering Dept. The contract(s) should indicate the cost to construct the following
improvements:
Grand Total (total
both colored fields))
PUBLIC IMPROVEMENTS
CONTRACT AMOUNT
X4%-
PRIVATE IMPROVEMENTS
CONTRACT AMOUNT
X2%=
Paving
Water
Sanitary Sewer
Storm Sewer
Alleys
Sidewalks
tether
U�
tal
Grand Total (total
both colored fields))