Frontier-PT161028RIGHT-OF-WAY USE PERMIT APPLICATION
Permit valid for 90 calendar days from date of approval
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
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
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
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:
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.
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
DateSignature of City Representative
DateSignature of Contractor Representative
DateSignature of Utility Company Representative
Scott Latta 28 October 2016
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 CABLE FEDERAL EMERGENCY MGMT. ADMIN.
214/ 320-5455 (Mike Rasmussen)940/ 898-5138
AT&T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY
214/ 215-3031 (Rich Millenman)817/ 588-5800
COSERV Gas & Electric DENTON CO. LEVEE DISTRICT
940/ 321-7800 x 7624 (Greg Ward)214/ 352-5118 (Richard Hightower)
EXPLORER PIPELINE Atmos 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
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