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Frontier-PT170403A copy of the approved permit must be on the job site at all times. CC: Applicant T M`. c r r x -" F Page 1 of 4 Public Works COPPELL Permit File Rev. 06/2012 Orig. to Project File 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: 03-31-20147 Applicant's Job # / Work Order ,t# 5212186 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 (i No C 0 Plans provided and approved (Erosion ControllSafety fences must be installed prior to beginning work) Project Name/Location or address 2601 w BETHEL RD, C©PPELL, 3°x General Contractor HENKELS & McCOY E-mail address to return permit gregory. . n. mickaftr. com Contact# 214-507-1722 Representative: GREGORY MICK Franchise Telephone #: 972-318-5277 Company: E-mail address: gregory.n.mickpftr.com [far contact if neededlif e-mail of approved permit is desired/permit cannot be e-mailed unless complete] Utility Company Represented: • Oncor Electric Delivery C- Atmos Energy C' Verizon (- SBC/ AT&T • Time Warner Cable C' CoSery Electric/Gas C+>w Other FRONTIER General Description of Work (in accordance with Ord. No.2007-944): PLEASE ATTACH PLAN OF PROPOSED WORK Frontier will bore a new 2 -inch HDPE conduit from an existing handhole at 2701 W Bethel Rd to 2601 W Bethel and place a new 2x3 handhole at customer conduit. (Frontier conduit will be 36 inches deep and 36 inches from back -of -curb. Estimated Start Date 04/17/2017 Estimated Completion Date* 05/31/2017 * 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: (i Yes (- No FIs removal of existing streets, alleys, or sidewalks necessary? C Yes A No if YES, project must have City inspection prior to concrete replacement Rieht-of-W ars Use Permit Annlication Paae 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 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) call 972-462-5755. ➢Any 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 (a 972-462-5150 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. until3:30 p.m. ONtYuniess otherwise approved by City Engineer. vAttach 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 972-4+62-5155 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@coppefftx.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 03-31-2057 Signature of Utility Company Representative Date Steve Forsythe Signature of Contractor Representative Scet�L�tt� 03-31-2017 Date 03 April 2017 Signature of City Representative Date Comments ➢NOTE: Notify City Inspector at 972-304-3679 prior to beginning work and prior to back, fill 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, ,docking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if .such permit is granted. T M! - c l t V. o V Page 3 of 4 COPPELL A a 4 a UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are r inimurn requirements for utility relocation projects: 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. JDensities 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 - 1800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-operations-division 9721462-5155 CITY OF COPPELL ENGINEERING DEPT. 972/ 304-3679 HOMEOWNER ASSOCIATIONS 9721 304-3678 (Planning Department) TIME 'WARNER CABLE 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 9721 323-8917 (Larry Redick) VERIZON COMMUNICATIONS 972/318-5277 FEDERAL EMERGENCY MGMT. ADMIN. 9401 898-5138 TEXAS COMM. on ENVIRONMENTAL QUALITY 817/ 588-5800 DENTON CO. LEVEE DISTRICT 2141 352-5118 (Richard Hightower) Atmos Energy 9721360-4428 (Gary Dickinson) 1 800 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 t C € 7 T R COFFELL 1.4 i H ,I , 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 I not acceptable because Follow-up needed? C, Yes C* No Follow-up scheduled for +.•Inspected by of Streets Maintenance Division on and found to be acceptable I not acceptable because Follow-up needed? r Yes C No Follow-up 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 i Print Form � � I I .I. PROPOSED 12' { j . PUBLIC I I WATER I I ' � I 2601 W. Bethel Rd iz'w - `-_ PROPOSED FRONTIER 2x3 HANDHOLE sta 8+%0 / I 16 water ELECTRICAL BETHELRI]AO R.O.W. LINE PROPO'SM TELEPHONE PROPOSED /�cAssERweE r PROPOSED 12' PRIVATE I � WATER 1 J 1 I '3h 11R tl-'. _ -- t1 --- W BEfHEL RD storm draw - - 3s - —,+s EXPLORER. { -� t.r . ,ti[.— _ ----------f-- t 16" water III +O6 0 I PROP I t ..:' U : w I — PUBO iii W propose BEIM I Q I ,. -I Frontier fiber 'I ` ......... . ... .. ... i ROP 18' R 18' RCIl1' 24' R .... 24' RCP l —�� 1 E.* t+' a _CP - _`42. cp - - -- �,. _ I I i PROPOSEDB'PUBLIC I 19' OLINF Ps 12'N y q 1 4•. I I SANITARY SEWER � � I I .I. PROPOSED 12' { j . PUBLIC I I WATER I I ' � I 2601 W. Bethel Rd iz'w - `-_ / I � I r PROPOSED 12' PRIVATE I WATER 1 1 I D PUL—BOX 2701 W Bethel Rd 11'x 9.V TRANSFORMER ON ELEVATED PAL) 4 Narih 12' r W. Bethel Rd aft 3ftF err conut I i 16" water line gas Frontier proposes to place a 2 -inch conduit from an existing handhole at 2701 W Bethel to 2+601 W Bethel. Conduit will be 36 inches deep and 3 feet back -of -curb. CD Hampton Inn & Suites ^ ... 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