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CC: Applicant r n s c i r r. -c r Page 1 of 4
Public Works COFPELL
Permit File Rev. 06/201
Orig. to Project File lor 414P `o
RIGHT4:)F VIAY USE PERIVIT 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: 10-24-2016 Applicant's Job # / Work Order # 5214114
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? Yes (_0 No
pX Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
Project Name/Locationoraddress 401 to 551 SOUTHWESTERN BLVD, COPPELL, TX
General Contractor Henkels and McCoy
E-mail address to return permit gregory.n.mick@ftr.com
Contact# 214-507-1722
Representative: Gregory Mick
Franchise Telephone#: 972-318-5277
Company:
E-mail address: gregory.n.mick@ftr.com
(for contort if neededlif e-mail of approved permit is desired/permit cannot be e-mailed unless complete)
Utility Company Represented:
(- Oncor Electric Delivery Atmos Energy �- Verizon (- SBC/ AT&T
Time Warner Cable ;" CoSery Electric/Gas `• Other FRONTIER COMMUNICATIONS
General Description of Work (in accordance with Ord. No. 2001-944#: PLEASE ATTACH PLAN OF PROPOSED WORK
FRONTIER PROPOSES TO BORE APPROX. 1400 FT OF 1.5" HDPE CONDUIT ALONG SOUTH SIDE OF SOUTHWESTERN BLVD. BORE
WILL BE 9 FEET FROM BACK -OF -CURB AND 36 INCHES DEEP.
Estimated Start Date 11/14/2016 Estimated Completion Date* 12/29/2016
* 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
-1s removal of existing streets, alleys, or sidewalks necessary? Yes E -i No
if YES, project must have City inspection prior to concrete replacement
Right-of-Wav Use Permit Aoolication 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[sj 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) calf 972-462-5155.
rAny 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 1 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.
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.)
Gregory Mick 10/22/2016
Signature of Utility Company Representative Date
Steve Forsythe
Signature of Contractor Representative
�'cettLat�
Signature of City Representative
Comments
10/22/2016
Date
04 November 2016
Date
NOTE: Notify City inspector at 972-301-3679 prior to beginning work and prior to
backfiff for concrete, trench, ditch and open pit inspections. Backfill must meet
aft 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.
Y H E - C 1 T Y 0 F
COPPELL
UTILITY RELOCATION CHECKLIST FOR WORK WITHIN
CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS
Listed below are minimum requirements for utility relocation projects:
Page 3 of 4
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 MUTC D 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.
$.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 - t 800 DIG TESSandlor the following:
CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-operations-division
9721462-5155
CITY OF COPPELL ENGINEERING DEPT.
9721304-3679
HOMEOWNER ASSOCIATIONS
9721304-3678 (Planning Department)
TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN.
2141 320-5455 (Mike Rasmussen)
AT&T LOCAL NETWORK
2141 215-3031 (Rich Millenman)
COSERV Gas & Electric
9401321-7800 x 7624 (Greg Ward)
EXPLORER PIPELINE
9181493-5100 (Patrick Nwakoby)
ONCOR Electric Delivery
972/ 323-8917 (Larry Redick)
VERIZON COMMUNICATIONS
9721318-5277
9401 898-5138
TEXAS COMM. on ENVIRONMENTAL QUALITY
817/ 588-5800
DENTON CO. LEVEE DISTRICT
214/ 352-5118 (Richard Hightower)
Atmos Energy
972/360-4428 (Gary Dickinson)
1800 DIG TESS for line locates
(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)
T M i - G 1 T 7 O Ir
COFFELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Page 4 of 4
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 1 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 COPPEL.L PUBLIC WORKS PERSONNEL
•.- Inspected by
of Utilities Maintenance Division on
and found to be acceptable / not acceptable because
Follow-up needed? {' Yes ;f No Follow-up scheduled for
•r Inspected by
of Streets Maintenance Division on
and found to be acceptable / not acceptable because
Follow-up needed? C--- Yes C` NQ Follow-up scheduled for
A copy of this completed notice can be provided to the address
or e-mailed by using the button below:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75419
Office: 972-304-3679 Fax: 972-304-3576
Submit by E-mail Print Form
•
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REVISIONS
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Frontie.
COMMUNICATIONS
551 SOUTHWESTERN 4 MDU
Park Vilest Crossing
52d45fl4 C.O. AREA: rappel
EXCH. CODE: LEWISVILLE 50UTH
ENGR: GREGORY MICK CNTY: 551 SOUTHWESTERN BLVD4
PHONE: 972.31&5277 FILE:
TAX DISTRICT: -- I DWG 2 6
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Frontier proposes to bore aprox. 1400 ft of
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from back of curb and 36 inches deep.
II UNITS /ACCT CODES I
2 SCALE: _ 1:74.
TWNSHR: —
REVISIONS
PERMIT r�
. . • •
Frontier
COMMUNICATIONS
551 SOUTHWESTERN 4 MDU
Park Vilest Crossing
52(4504C.O. AREA: rappel
EXCH. CODE: LEWISVILLE SOUTH
---FEN—GR. GREGORY MICK CNTY: 551 SOUTHWESTERN BLVD4
PHONE: 972.31&5277 FILE:
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24" water
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Frontier proposes to bore aprox. 1400 ft of
1.5 inch HDPE conduit along the south side
of Southwestern Blvd. and place it 16 feet
from back of curb and 36 inches deep.
II UNITS /ACCT CODES I
2 SCALE: _ 1:74.
TWNSHR: —
REVISIONS
PERMIT r�
. . • •
Frontier
COMMUNICATIONS
551 SOUTHWESTERN 4 MDU
Park Vilest Crossing
52(4504C.O. AREA: rappel
EXCH. CODE: LEWISVILLE SOUTH
---FEN—GR. GREGORY MICK CNTY: 551 SOUTHWESTERN BLVD4
PHONE: 972.31&5277 FILE:
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