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Frontier-PT170117A copy of the approved permit must be on the yob site at all times. CC: Applicant T M a. c I T T' Q or Page t of 4 Public Works COFFE Permit File LL Rev. 06/2012 -•* �k �. Orig. to Project FileA It RIGHT-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: 1/17/17 Applicant's Job # / Work Order # 5189936-512 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 C: No C ❑X Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) Project Name/Location or address 452 HoUSton St / move handhole General Contractor Henkels and McCoy E-mail address to return permit gregory.n.mick@ftr.com Franchise Company: Representative: Gregory Mick Telephone #: 972-318-5277 Contact# Steve Forsythe 214-507-1722 E-mail address- gregory.n.mick@ftr.com (for contact if neededlif e-mail of approved permit is desiredlpermit cannot be e-mailed unless complete) Utility Company Represented: C` Oncor Electric Delivery C` Atmos Energy C Verizon C SSC/ AT&T C Time Warner Cable C' CoSery Electric/Gas C: Other Frontier General Description of Work (in accordance with Ord. No. 2007-944): PLEASE ATTACH PLAN OF PROPOSED WORK Frontier proposes to remove an existing handhole at 462 Houston St and move it west apprx. 25 feet. Frontier will bore a new 1.5 -inch conduit at 36 inches deep and 3 ft from edge of pavement. Estimated Start Date 01/20/2017 Estimated Completion Date* 02/03/2017 * 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: C: Yes C No ➢Is removal of existing streets, alleys, or sidewalks necessary., C` Yes C+ No if YES, project must have Cityinspection prior to concrete replacement Rieht-of-Wav Use Permit Annlication 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 mast 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 972462-5155. Any excavation requiring closing of a street/alley must be reported prior to closing to the following; Police Department jg 972-304-3600 Fire Department @ 972-304-3512 Street Department @ 972462-5150 Engineering Department @ 972-304-3679 rAttach barricade plan 1 trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a.m. until3:30 p.m. ONLYunless 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@coppeIltx.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 01/17/2017 Signature of Utility Company Representative Date Steve Forsythe Signature of Contractor Representative Scet�L�tt� Signature of City Representative Comments 01/17/17 Date 17 January 2017 Date ➢NOTE. Notify City InVector 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. Y H K• C1 T Y d F COFFELL 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 LA 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. !.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. 1l.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.govlutility-operations-division 972!462-5155 CITY OF COPPELL ENGINEERING DEPT. 9721 304-3679 HOMEOWNER ASSOCIATIONS 9721 304-3678 (Planning Department) TIlIZE WARNER CABLE 2141320-5455 (Mike Rasmussen) AT&T LOCAL NETWORK 2141215-3031 (Rich Millenman) COSERV Gas & Electric 9401321-7800 x 7624 (Greg Ward) EXPLORER PIPELINE 918! 493-5100 (Patrick Nwakoby) ONCOR Electric Delivery 9721323-8917 (Larry Redick) VERIZON COMMUNICATIONS 972/318-5277 FEDERAL EMERGENCY MGMT. ADMIN. 940! 898-5138 TEXAS COMM. on ENVIRONMENTAL QUALITY 8171588-5800 DENTON CO. LEVEE DISTRICT 214/ 352-5118 (Richard Hightower) Atmos Energy 9721360-4428 (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 14 L G 1 T Y 0 F COFFELL -VSA a t 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 COPPELL PUBLIC WORKS PERSONNEL -:-Inspected by of Utilities Maintenance Division on and found to be acceptable 1 not acceptable because Follow-up needed? C Yes C No Follow-up scheduled far •3lnspected by of Streets Maintenance Division on and found to be acceptable I not acceptable because Follow-up needed? (- Yes C No Follow-up scheduled for A copy of this completed notice can be provided to the 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 Submit by E-mailI Print Form X, (9 A Auto Peru - rts Company Oro VII -I pt Robertson Pools Heath. Ln 0 c� cz 0 r Q W Vj Bethel Rd Hard Bight BBQ Q 462 Houston St Burns St CL 0 CL c� LL southwestern B;vd M rD kja M- OL rD �s Coppell Deli it (n s,.n st rn 5 Travis St Barns St trooper Ln L W Beth 0 ca 3 0 Southwestern B f,vcy G t skate j e 3" #� OLD FRONTIER HANDHOLE TO BE REMOVED 1 1 � 1 1 I 1 NEW FRDNIIER HANDHOLE 7 M a a M MAIN STREET �o ►L-_ 50 if t I g _- 0 1 55 55 55 STA 7+68-84 CONSTRUCT 1-4' SQUARE SOW - U f/1 STA 0+00 50 LINE B I II II �x � � f F_ 1 H 3 p - - < 1-30"x18"x45' WYE LyJ Wa +STA O+OD 50 LINE R #_ Nm7033312.61 - LAT 62 -. N U STA 11+98.42 80 LF 30" CLASS III P.CR 0.81 o. SFA 0+84.57, 13.$66' LT 1 0— 55 C05STCURT LZ Nm7D33226.38 CONSTRUOT [I7 (, INLET TDI VE=2426496.65 SEE SHEET 57 1-5' CURB INLET i '1i'dP '57.87 I 3.+9 fP+ W W f =519.68 14.87.70 - m> TCN -515,02 N 0 d N.; IE=2x26579-at H N=70333$1.69 --PROP 8" 55-_. �Q_ J E=2426579.05 a J ❑ W U w. rte✓! 3 M1 O1 FL -$03.75 4, _ �§Ou'1� O STA 0+84.57 4�5 in.O Com] �II � � 12 � - CONSTRUCT x A II 1-19"x18'-6❑' WYE m - 1-18"x18"x60' BEND +?Ce"- STREET N=7033299.45 �N.�.O. ZI NNN E=24266572.50 i 490 PM 8" WL E mµ c 5+50 6+00 6+5' Q Dal,: 3.. 19, xolz - 2:37vm u:..: � Fn.: N:\ warl:rq. cv-oRA-va-smNo2.owy srA 0+22.0s + v, CONSTRUCT t L0 m 1- 1 a'x 1 a -z45' BEND L() 'oan N=7033297..52 ti F U] W ay E=2426510-02 3" #� OLD FRONTIER HANDHOLE TO BE REMOVED 1 1 � 1 1 I 1 NEW FRDNIIER HANDHOLE 7 M a a M MAIN STREET �o ►L-_ 50 if W g _- 0 1 55 55 55 STA 7+68-84 CONSTRUCT 1-4' SQUARE SOW - W = - - - d RIM -515.69 5+00 6+OQ JF 7+00 N=7033074-71 2 V) NE A E=242650`.41 J - W 520 �o 50 if W .STA 5+30.663 SD LINEA = 55 - — SS 55 55 55 SS SS SI—SS 55 55 SS U f/1 STA 0+00 50 LINE B II II �x � I - - F_ CONSTRUCT STA 6+17.$0 SO LINE A = - - < 1-30"x18"x45' WYE Wa +STA O+OD 50 LINE R #_ Nm7033312.61 - w �CONSTRUCT e d E=2426493-95 80 LF 30" CLASS III P.CR 0.81 o. 1-24"X21"X45' WVE ,� - LZ Nm7D33226.38 MATCH LINE STA 8+00 [I7 W VE=2426496.65 SEE SHEET 57 SD LINE A 5e., s 520 �o S15 II II �x � - x� -1 DOYR ++GL - - - - Wa #_ d i8tA�'g�e 80 LF 30" CLASS III P.CR 0.81 o. - 5C5 LZ FLOWABLE- ILL-. -- -- [I7 W a�-lam FF �_ r� r X11^Q '1i'dP '57.87 I 3.+9 fP+ W W e= F= Na O 0.50X - m> d N 0 d H rlG4 P o. r8X . --PROP 8" 55-_. �Q_ J UNL B a J ❑ W U w. rte✓! 3 M1 O1 FL -$03.75 4, _ �§Ou'1� O O 0-h 4�5 in.O Com] �II � � 12 � - x A II +?Ce"- �N.�.O. NNN i 490 4+50 5100 5+50 6+00 6+5' Dal,: 3.. 19, xolz - 2:37vm u:..: � Fn.: N:\ warl:rq. cv-oRA-va-smNo2.owy alley aft handhole to new handhole I be removed E 25ft30 bore and handhole profile Frontier proposes to remove an existing 17)(30 handhole at 462 Houston St and replace it 25 feet to the west. Frontier will place a 1.5 -inch HDPE conduit from the old location to the new handhole. Conduit will 6e 36 inches deep. © < O J 0 tea. �o Wa #_ i8tA�'g�e LZ [I7 W Qc T W W W m> d N 0 d H �Q_ J J a J ❑ W U � � IY Z O 0-h >QU �U� � z F {I1 alley aft handhole to new handhole I be removed E 25ft30 bore and handhole profile Frontier proposes to remove an existing 17)(30 handhole at 462 Houston St and replace it 25 feet to the west. Frontier will place a 1.5 -inch HDPE conduit from the old location to the new handhole. Conduit will 6e 36 inches deep. © < O J 0 tea.