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Red Hawk- PT161214A copy of the approved permit must be on the job site at all times. CC: Applicant Public Works Permit File Orifi. to Protect File r M t - e i r r o s, COFFELL x ,R s Ilk Page 1 of 4 Rev. 06,2012 RICHT-OF-WAY USE PERMIT APPLICATION Permr't valid for 90 calendar days frain date of approval Submit permit application to the Engineering Dept., Town Center, 253 Parkway Blvd. or e-mail to engineer@coppelitx.gov (see button below) Date of Submittal: 12112/2016 Applicant's Job # I Work Order # 5189936-455 - PERMIT FEE: $100.00 (No charge to Utility Companies with approved FranchiselROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Yes (- NO C E] Plans provided and approved (Erosion Controi/safety fences must be Installed prior to beginning work) Project Name/Location or address 301 S DENTON TAP RD, COPPELL TX General Contractor HENKELS AND MCCOY E-mail address to return permit MICHAEL.X.PHILLIPS@FTP-COM Contact # 214-507-1722 Representative: MICHAEL PHILLIPS Franchise Telephona #: 972-318-5281 Company: E-mail address. MICHAEL-X.PHILLIPS@FTR.COM (for contact if neededllf a -mail of opprovedpennit is de-Oredipermit cannot be e-malled unless complete) Utility Company Represented: C` Oncor Electric Delivery (- Atmos Energy C" Verizon C` SBCI AT&T C` Time Warner Cable C CoSery Electric/Gas VOther FRONTIER COMMUNICATIONS General Description of Work (in accordance with prat No. 2007-944): PLEASE ATTACH PLAN OF PROPOSED WORK FRONTIER PROPOSES PLACING DIRECTIONAL BORE FROM EXISTING FTR HAND HOLE LOCATED AT 275 S DENTON TAP RD TO 301 S DENTON TAP FOP FIBER OPTIC CABLE PLACEMENT TO SERVE NEW BUILDING AT 301 S DENTON TAP RD.. FRONTIER ALSO PROPOSES PLACING A NEW 17'X30" HAND HOLE AT CORNER OF 301 S DENTON TAP RD TO TIE INTO CUSTOMER CONDU ' Estimated Start Date 12/27116 Estimated Completion Date` 1127117 * 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 i No i -Is removal of existing streets, alleys, or sidewalks necessary? C Yes'/No if YES, project must have City Inspection prior to concrete replacement Riaht-or Wav Use Permit Application Page -1-0i 4 Representative(s) of the Contractor must where to all construction standards approved by the City of Coppelr, which includes but is not limiter! 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. rcafsl gffe ledm he rc orcrI to sts goad rind€tion nJ hefore the c4mmen=,cnt 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 streetlalley must be reported prior to closing to the fallowing: Police Department a 972.-304-3600 Fire Department @ 572-304-3512 Street Department 4D 972-462-5150 Engineering Department @ 972-304-3679 >Attach 'barricade plain / trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from :00 a.m. until 3:3€0 p.m. ONLYunless otherwise approved by City Engineer. >Attach Work Order (franchise only) andlor 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 engineerPCgpperltx.aov. 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.) MICHAEL PHILLIPS 12112/2016 Signature of Utility Company Representative Date STEVEF©RSYTHE Signature of Contractor Representative Scett-./�t� Signature of City Representative Comments 12/1212016 Date Date 14 December 2010 >NOTE: NoM City Inspector at 972-304-36z2 PdQE to be inning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must ineet all construction standards approved by the City of Coppell. Applicant shall indeinniA, and forever hold hcanniess against the City of Coppell each and every claim, demand or cruise of ration that may be made or carne against it by reason of or if any lvay arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit front the City, if such Ipermit is granted. UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHIS-OF-WAY OFA„EA ')E NTS Listed below are minimum requirements for utility relocation projects: LA copy of the valid approved City of Coppell permit is required on the project at all times. ,Notify adjacent property owners (commercial & residential.) of project timeline; provide them with contact names and phone numbers. I.Proper erosion control measures must be taken. /Follow Texas MUTCD standards for work in traffic zones. 5.Sod is to be replaced when necessary. 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. '.Densities may be required in trench lines (ASTM). ,Care and repair of street signage is the responsibility of the contractor. 1L.No work is to be done in collector roadways before 9:00 a.m. or after 3:00 p.m. JLPrior notice of work activity on weekends and holidays must be in writing. 1ILine locates must be performed in advance by contacting - 1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION sonnelltx.g_av/«tilit -n crib nc_-diyi,;ioil 9721462-5155 CITY OF COPPELL ENGINEERING DEPT. 9721304-3679 HOMEOWNER ASSOCIATIONS 9721304-3678 (Planning Department) TIME WARNER CABLE FEDERAL EMERGENCY MGMT ADMIN 2141320-5455 (Mike Rasmussen) 94111898-5138 ! AT&T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY 2141215-3031 (Rich Millenrnan) 817/ 588-5800 COSERV Gas & EIectric DENTON CO. LEVEE DISTRICT 9401321-7800 x 7624 (Greg Ward) 2141352-51 IS (Richard Hightower) EXPLORER PIPELINE Atmos Energy 918/ 493-5100 (Patrick Nwakoby) 972/360-4428 (Gary Dickinson) ONCOR EIectric Delivery 4721323-8917 (harry Redick) VERIZON COMMUNICATIONS 1 800 DIG TEES for lure locales 9721318-5277 (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. I6. "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 COFFELL H Y -e I T r R x A a I S a 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 Thee of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS -.'-Inspected by of Udiftles Maintenance Division on and found to be acceptable I not acceptable because Follow-up needed? C Yes C' No Fallow -up scheduled for ❖Inspected by of Streets Maintenance Division on acrd found to be acceptable 1 not acceptable because Follow-up heeded? ('Yes C No Fallow -up scheduled for A copy of this completed notice can be provided to the address below or e-mailed by rasing the button below: City of Coppell Engineering Dept. 255 Parkway Blvd., Coppell TX 75019 Office: 972-304-3679 Fax: 972-304-3570 Submit by E -matt Print Form 275 S DENTON TAP RD EXISTING FRONTIER 17"X30" HAND HOLE, 4" FDC WATER LINE I 20'X2V EASEMEN PER PLAT 6" LWATTR PROPOSED 100FT DIRECTIONAL TXU EASEMENT BORE FROM EXISTING PER PLAT FRONTIER HAND HOLE TO CUSTOMER CONDUIT LOCATED ON CORNER OF PROPERTY NEW 17"X30" FRONTIER PROVIDED CONDUIT TO BUILDING 301 S Denten Tap Rd BORE DEPTH CHART (NOT TO SCALE) 6" WATER LINE 124" SEPERATION 0BORE (1.5' DUCT) 'CONTRACTOR RESPONSIBLE FOR ALL UNDERGROUND UTILITY LOCATES AND MAINTAINING PROPER SEPARATION FROM ALL OTHER UTILITIES I i E �I I 7 I I I � I m I ea a� a0 011 � zV I _::i LLI Y� QIm " WA ER LINE I I I 4 I I 110— ROW � I k I , BORE DEPTH CHART (NOT TO SCALE) 6" WATER LINE 124" SEPERATION 0BORE (1.5' DUCT) 'CONTRACTOR RESPONSIBLE FOR ALL UNDERGROUND UTILITY LOCATES AND MAINTAINING PROPER SEPARATION FROM ALL OTHER UTILITIES