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Spectrum-PT170228A copy of the approved permit must be on the job site at all times. 'CC: Applicant Page M c_ c x r o F Page 1 of 4 Public Works COFFELL Permit File R'�' 06/012 -., Orig. to Project File r A �• ''; �- RIGHT-OF-WAY USE PERMIT APPLICATION Perrrril valid far 90 catendar days from dare 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: 2/23/201 Applicant's Job # / Werk Order # 1423417 PERMIT FEE: $100.00 (No charge to Utility Companies with approved FranchiselROW Use A,greernent) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Yes (0- No C ❑ Plans provided and approved (Erosion Controll5ofety fences must be installed prior to beginnings work) Project Name/Location or address Wrangler and Beltline General Contractor Gardner Telecommunications , LLC Contact# 972-329-9933 E-mail address to return permit al@gardner100 . com Representative: Phillip Gwin Franchise Telephone#: 214-869-9038 Company; E-mail address: phi l l ip gwin@charter. . com (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) Utility Company Represented: C Oncor Electric Delivery C Atmos Energy Verizon (: Time Warner Cable C CoSery Electric/Gas C' Other C SSC/ AT&T General Description of Work (In accordance with Ord. No.2001-944): PLEASE ATTACH PLAN OF PROPOSED WORK Relocate Time Warner Cable/Spectrum Overhead cable to under ground at this intersection. This will be bored under Reltline Road at Wrangler Estimated Start Date 2-28-2017 Estimated Completion Date* 3 - 9 - 2 017 * Completion requires submittal of Completion Verification Notice (see page 4) YWas contact made with City and/or utility companies to locate existing utilities? if NO, Reason: {: Yes C' No YIs removal of existing streets, alleys, or sidewalks necessary? C' Yes (* No if YES, project must have City inspection prior to concrete replacement Richt-of-Wav Use Permit Anulication Nee 2 of 4 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at applicant's expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices. Areata} affected must be rgstored to a$ gpod condition as before the commencement of work (grading, drainage, vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972=462-5I55. pAny excavation requiring closing of a streettalley must be reported prior to closing to the following: Police Department @ 972-304-3600 Fire Department @ 972-304-3512 Street Department @ 972462-5150 Engineering Department @ 972-304-3679 :-Attach barricade plan / 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. 'r 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 972-462-8155 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 bye -mail should go to engineeripceRpelltx.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.) Phillip Gwin 2/23/2017 Signature of Utility Company Representative Date Signature of Contractor Representative Date �'cet�.L�tta Signature of City Representative Comments 28 February 2017 Date ➢NOTE: Notify City Inspector at 97'2-304-33679 prior to beginning work and prior to back,,flll 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 bold harmless against (lie City of Coppell each and every claim, demand or catese of taction that may be made or carne 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. T N s - e I t r- o F Page 3 of 4 COFFELL -k' *Oe r r;,-, • e. o tA' �s UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS 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. JNotify adjacent property owners (commercial 8c 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. Sod is to be replaced when necessary. (.Irrigation repairs must be performed in a timely manner. ,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). ],Care and repair of street signage is the responsibility of the contractor. JLLNo work is to be done in collector roadways before 9:00 a.m. or after 3:00 p.m. JJPrior 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 anchor the following: CITY OF COPPELL UTILITIES DIVISION coppelftx.govhitility-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) 9401 898-5138 AT&T LOCAL. NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY 214/ 215-3031 (Rich Millenman) 817/ 588-58030 COSERV Gas & Electric DENTON CO. LEVEE DISTRICT 940/ 321-7800 x 7624 (Greg Ward) 2141 352-5118 (Richard Hightower) EXPLORER PIPELINE Atmos Energy 918/ 493-5100 (Patrick Nwakoby) 972/360-4428 (Crary Dickinson) ONCOR Electric Delivery 972/ 323-8917 (Larry Redick) VERIZON COMMUNICATIONS 1800 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) T H E - 6 I T V • O I COFFELL i UTILITY RELOCATION IN RIGHT -LIF -WAY OR EASEMENT COMPLETION VERIFICATION NOTICE Page 4 of 4 Contact City of Coppell Public Works Division at 972462-5155 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 Time Warner Gable/Spectrum Project Location / Applicants Work Order # (if applicable) 1423417 Beltline Road and Wrangler Drive Seib -contractor Company Name Gardner Telecommunications, LLC. 24 hr.Contact Number 469-853-3866 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 / not acceptable because Follow -rip needed? C` Yes C No Follow -tip scheduled for 4.' -Inspected b_y of Streets Maintenance Division on and found to be acceptable / not acceptable because Follow-up needed? t" Yes C No Follow -tip scheduled for A copy of this completed notice can be provided to the address below 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-mail Print Form qflr1w on- 4 -- AW -7-, wrim w 6j • vm w Daryl Flooa^ 16,1.L:Oion & Logistics Chase Sank() BMC - Building Materials & construt:14011 sclutlGr's A,rkq-? IBM Innovation 0 Center - Dallas T ea PROPOSE_R UTE lexis Dreams j C-mnastics c" 0 DaVita RxCj ri oNestle Waters North America D, PERMIT FOR NEW BUILD KINETIC SOLUTIONS LLC. DID 1423417 (FR 170028) Sped umi" KINETIC 1585 JAMESON RD. S UPONS VAN ALSTYNE T.X. 75495 LLC WRANGLER RD AND BELTLINE COPPELL, TX 888-519-9188 3f� 3 WRANGLER DR ' 40 MPH TURNI START NEW IG +� 4+LI 4+4 E TURN TURN VAULT 4+ +r 5+53 TURN BOC BOC BOC 525' -r w z 520` — — - — — f t 515'x—��� T f � 505' -1 - — - 350' 400' 450' 500' 4+55 CR= 1 4+66 CROSS r *NOTE'* LOC UKN TI3D 1N FLD LOC UKN TBD IN FLD FOR PERMIT PURPOSES ONLY DRAWINGS BASED ON RECORDS CALL FOR UTILITY LOCATES PRIOR TO DIGGING. — EXISTING ANCHOR 'R JOINT USE POLE NEW ANCHOR @ 25' — --ROW---_ _ PED 4±22— +P + 3+70 RISER P 92' 80c START DELASH BORE & PLACE 4" PVC STA START NEWUfG � 1 AERIAL NEWBUILD AND RELASN I 4+D9 TURN i I ! R a ri +4 V T ' PROP. SPECTRUM 24CT FIBER OL ON TURN EXISTING POLE LINE WITH AN 18' MIN. CLEARANCE TO BE MAINTAINED. POLES 4+55 CR 2" ARE TYP. 1' TO 3' INSIDE ROW PROP. SPECTRUM UG RUN 24CT FIBER AND LOC UKN TDD IN FLD .625 COAX IN 2-2" HOPE. MAINTAIN MIN. OF Z 48" COVER. MIN 2' VERTICAL & 2' 4t57 STARLoT HORIZONTAL SEP. REQ'D BETWEEN EXISTING I w CITY UTILITIES. 4+ LOC UKN TBE) IN FLD d 120' ' 0 50' 100' - _ _ - 200'1 START NEW IG +� 4+LI 4+4 E TURN TURN VAULT 4+ +r 5+53 TURN BOC BOC BOC 525' -r w z 520` — — - — — f t 515'x—��� T f � 505' -1 - — - 350' 400' 450' 500' 4+55 CR= 1 4+66 CROSS r *NOTE'* LOC UKN TI3D 1N FLD LOC UKN TBD IN FLD FOR PERMIT PURPOSES ONLY DRAWINGS BASED ON RECORDS CALL FOR UTILITY LOCATES PRIOR TO DIGGING. — EXISTING ANCHOR 'R JOINT USE POLE NEW ANCHOR @ 25' RISER SIDEWALK GUY ❑ PED f NEW SIDEWALK GUY Lj HAND HOLE 7,,- POLE TO POLE GUY 92' VAULT 11 OVERHEAD GUY BORE & PLACE 4" PVC AERIAL FOOTAGE PLACE VAULT 1 AERIAL NEWBUILD BORE & PLACE 4" SCHED 80 PVC FIRE HYDRANT [] WATER VALVE — 0 WATER METER Q GAS METER — TREE SHRUB 550' END NEW UiG 525' 520' PROP. SPECTRUM UG RUN 24CT FIBER AND .625 COAX IN 4" PVC. MAINTAIN MIN. OF 48" 515' COVER. MIN 2' VERTICAL & 2' HORIZONTAL SEP. REQ'D BETWEEN EXISTING CITY UTILITIES. 510' 545' 600' e END NEW U!G 2� RAKE OFF QTY RAKE OFF QTY RAKE OFF QTY TRENCH do PLACE CONDUIT PULL THRU EXSITING CONDUIT R & R CONCRETE SIDEWALK BORE & PLACE CONDUIT PLACE 3'X5'X3' HH R & R CONCRETE PAVEMENT DIRECTIONAL BORE 92' PLACE 4'X4'X4' MH R & R ASPHALT PAVEMENT BORE & PLACE 4" PVC 101' PLACE VAULT 1 AERIAL NEWBUILD BORE & PLACE 4" SCHED 80 PVC I IPLACE PED tiAERIAL OVERLASH 37O' J w I Spectrum. "A' = 7 1 1 OF 1 DISCLAIMER INFORMATION IN THIS DOCUMENT IS PROPRIETARY AND SIA46LL NOT BE USED, REPRODUCED. COPIED OR DISCLOSED IN WHOLE OR IN PART W"OU'r WRITTEN CONSENT FROM KqM SOLUTIONS LLC. r(rNETIC1586 JAMES N R LLC. 1585 JAMESdN ftb. VANALSTYNE TX.. 75495 888-519-9188