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CRDC 14-01PT170315A copy of the approved permit must be on the job site at all times. CC: Applicant COFFELL T r4 ` 6' r r o rPage 1 of 4 Public Works Rev. 0612{)/2 Permit File Q Orig. to Project File F RIGHT-OF-WAY USE PERMIT APPLICATION Permit valo j#rr 90 calendar daYs ,froin dale of approval Submit permit application to the Engineering Dept., Town Center, 355 Parkway Bivd. or e-mail to engineer@coppeiitx.gov (see button below) Date of Submittal: 03/13/2017 Applicant's Job # /'Work Order # Denton Tap Reroute 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 C No C" © Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) Project Name/Location or address Denton Tap just south of Sandy Lake General Contractor Capco Communications, Inc. Contact # Kyle Capps E-mail address to return permit kcapps%capco- inc. com Franchise Company: Utility Company Represented.: C Dncor Electric Delivery C Atmos Energy C Verizon C SSC/ AT&T C Time Warner Cable C CoSery Electric/Gas (e Cather Coppell ISD General Description of Work (in accordance with ord. No. 2001-944): PLEASE ATTACM PLAN VF rxvr+wtu wVKK Reroute existing aerial fiber crossing Denton Tapp at the Schlotzsky's into existing duct provided by the City. Remove aerial fiber line after rerouting existing fiber. Estimated Start Date 03/15/2017 Estimated Completion Date's 03/16/2017 * 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, Reas©n:NO underground work needed. City provided D f Yes (9— No :-Is removal of existing streets, alleys, or sidewalks necessary? C Yes C+ No if YES, project must have City inspection prior to concrete replacement Right -of -Warr Use Permit Aaniicatio 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) affectQd must be rest oretlo m good condition as before the gornmencementw k (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 he reported prior to closing to the following: Police Department @ 972-304-3600 Fire Department @ 972-3014-3512 Street Department @ 972462-5150 Engineering Department a 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 972462-5155 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 beginnings 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.) Signature of Ut Ity Company Representative 19 r (124� Sign of C _ ontracto presentative Scait-�m Signature of City Representative Comments Date �/._3 /Pvf Date Date 15 March 2017 �-NOTE: Notify City Inspector at 972-344-3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill mast 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.