Spectrum-PT180315 A copy of the approved permit must be on, the job site at all tim
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CC: Applicant Page I of 4
Public Works COPPELL Rev. 0612012
Permit File
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Al
01
Orig. to Prqject File
A
RIGHT-OF-WAY USE PERMIT APPLICATION
Permit validfor 90 calendar claysom dale 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: 11-20-17 Applicant's Job # / Work Order #1-548491
PERMIT FEE: $100.00
(No charge to Utility Companies ivith approved FranchiselROW Use Agreelnent)
Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Yes (-0 No C
0 Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
Project Name/Location or address BMC Corporate Services 425 Airline Dr
General Contractor GTI Contact# 972-329-9933
E-mail address to return permit mike@gardnerlO.com
Representative: Robert Houston
:0"ranth'64
'C Telephone#: 469-744-9794
E-mail address:Robert.Houston@charter.com
(for contact if neededlif e-mailof approved permit is desiredlpermit cannot be e-mailed unless complete)
Utility Company Represented:
(' Oncor Electric Delivery C' Atmos Energy Verizon SBC/ AT&T
C Time Warner Cable C CoSery Electric/Gas C Other Spectrum
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04), PI Et#SEN;0F,PR/0,P05�9,AWQRlK,.
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Estimated Start Date 11-3 0-17 Estimated Completion Date* 12-3 0-17
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: (9— Yes C No
FIs removal of existing streets, alleys, or sidewalks necessary? C Yes ' No
if YES,project must have City inspection prior to concrete replacement
Riaht-of-Way Use Permit ADDlication Pa2e 2 of 4
Representative(s) of the Conti-actor 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.
vegetation, a:aicl erosion co�atrol). To sclzedarle Public works final inspection (Page 4') call X72-4ta2-Sl+S.
YAny 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 @ 972-462,-5150
Engineering Department @ 972-304-3679
5;,Attach barricade plan / trench safety plan if a lane or street closure is required.
NOTE. Street closures are ollowedfrom 9Q a,m.,yAtil 3:30 p.m:ONLY awnless otherwise approved by City
Engineer.
),Attach Work Order(franchise only)and/or 11 set of prints showing proposed work.
eginhirtowork.
Tor,City utllity,locate s,call,972-462*6106 to sehL:id10:"4,8hours: prior to beo,inningwork.
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 gnginegL@coPPeIILx g
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.)
Robert Houston 11-20-17
Signature of Utility Company Representative Date
Mike Hulvey 11-20-17
Signature of Contractor Representative Date
29 November 2017
Signature of City Representative Date
Comments
�-NOTE: N—otify Ci a InspccLor at 972-3Q41- 6L9pLLor Lo bgginnjug work and prior to
backfill for concrete, trench, ditch add 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 inay 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 frorn the City, if such
perinit is granted.
u a v 0 r Page 3 of 4
COFFEL�L,,_
4' ,,a a;
UTILI Y REL C TIQN CHECKLIST FO ORK WITHIN
TY F C:OP ELL RIGHTS-OF-WAY OR EAE + T
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.
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.
tUrrigation 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 ( .STM).
II 0.Care and repair of street signage is the responsibility of the contractor.
II:.No work is to be done in collector roadways before 9:00 a.m. or after 3:070 p.m.
Prior notice of work activity on weekends and holidays must be in writing.
13,Line locates must be performed in advance by contacting 180101 DIG TESS and/or the following:
CITY OF!COPPELL UTILITIES DIVISION c ,prelltx.yovhaiti :sign
9721462-5155
CITY OF COPPELL EtNGINIzERING DEPT.
972/ 304-3679
HOMEOWNER ASSOCIATIONS
972/ 3014-3678 (Planning Department)
TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN.
214/ 3207-5455 (Mike Rasmussen) 940/ 598-5135
AT&T LOCAL NETWORK TEXAS COMM, on ENVIRONMENTAL QUALITY
214/ 21.5-30131 (Rich Millenrnan) 817/ 588-58010
COSERV Gas & Electric DENTON CO. LEVEE DISTRICT
940/321-7800 x 7624 (Greg Ward) 214/ 352-5118 (Richard Hightower)
EXPLORER PIPELINE Atoms Energy
918/493-5100 (Patrick Nwakoby) 972/360-4428 (Gary Dickinson)
ONCOR Electric Delivery
9721323-8917 (Larry Redick)
VERIZON COMMUNICATIONS 180101 DIG TESS for lute 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 14 K F Page 4 of 4
COPPELL
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UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
CQMPL ETIC3N VERIFICATION NOTICE
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
oppell specifications.. Failur°e to schedule verification inspection may delay future projects.
Franchise Utility Nance Spectrum
Project Location / Applicant's Work Order # (if applicable)'548491
425 Airline lir
Sub-contractor Company Name Ventura
24 hr.Contact Number 214-991-5948
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-up needed? ('Yes C No follow-up scheduled for
°b'-Inspected by of Streets Maintenance .Division on
and found to be acceptable /not acceptable because
Follow-up needed? (-Yes Na Follow-up scheduled for
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
Lm� Office: 972-304-3679 Fax: 972-304-3570
Sukami l� EmaiI print Form
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BMC CORPORATE SERVICES GENERAL PROJECT NOTE
1. ALL CONSTRUCTION WORK WITHIN THE PUBLIC RIGHT—OF—WAY SHALL BE DONE IN ACCORDANCE WITH THE
ORDINANCES AND REGULATIONS OF THE MUNICIPALITY IN WHICH THE WORK IS TO BE PERFORMED,
425
2. EXISTING UTILITY LOCATIONS SHOWN ARE TAKEN FROM AVAILABLE RECORDS AND MAY NOT BE ALL INCLUSIVE,
UTILITY LOCATIONS ARE GENERALLY SCHEMATIC IN NATURE AND MAY NOT ACCURATELY REFLECT THE SIZE AND AIRLINE DR
LOCATION OF EACH PARTICULAR UTILITY. THE CONSTRUCTION CONTRACTOR SHALL ASSUME RESPONSIBILITY FOR
ACTUAL LINE LOCATES IN THE FIELD AND THE PROTECTION OF ALL EXISTING FACILITIES WHETHER SHOWN OR NOT.
THE CONSTRUCTION CONTRACTOR SHALL ALSO ASSUME RESPONSIBILITY FOR REPAIRS TO ANY EXISTING FACILITY
DAMAGED AS ELLDRAWINGS ORANOT DIRECT RESULT OF THE CONSTRUCTION ACTIVITIES WHETHER THE FACILITY IS SHOWN ON THE
T A` 3. THE CONSTRUCTION CONTRACTOR SHALL BE RESPONSIBLE FOR CONTACTING ALL DEPARTMENTS WITHINTHE
MUNICIPAL17Y AND THE UTILITY COMPANIES AT LEAST TWO WORKING DAYS PRIOR TO THE: COMMENCEMENT OF WORK,
CALL BEFORE YOU DIG
811
IT'S THE LAW
VICINITY MAP 4, IT SHALL BE THE RESPONSIBILITY OF THE CONSTRUCTION CONTRACTOR TO: A) PREVENT DAMAGE TO PRIVATE AND
PUBLIC PROPERTY, B) RESTORE ALL AREAS EFFECTED BY THE CONSTRUCTION TO ORIGINAL OR BETTER CONDITION.
5. BARRICADING AND TRAFFIC CONTROL SHALL BE THE RESPONSIBILITY OF THE CONSTRUCTION CONTRACTOR AND
_ SHALL CONFORM TO THE "TEXAS MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES TRAFFIC FLOW AND ACCESS
SHALL BE MAINTAINED DURING ALL PHASES OF CONSTRUCTION.. THE CONSTRUCTION CONTRACTOR IS RESPONSIBLE
FOR PROVIDING TRAFFIC SAFETY MEASURES FOR WORK ON THE PROJECT. THE WORK SITE SHALL BE SUITABLY LIT
AND BARRICADED AT NIGHT.
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6, THE CONSTRUCTION CONTRACTOR SHALL ABIDE BY ALL APPLICABLE FEDERAL, STATE AND LOCAL LAWS GOVERNING
EXCAVATION. THE CONSTRUCTION CONTRACTOR SHALL PROVIDE ALL TRENCH SAFETY SYSTEMS THAT COMPLY WITH
ALL LAWS GOVERNING EXCAVATION. THE CONSTRUCTION CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR ALL.
ASPECTS OF WORD RELATED TO EXCAVATION,
PROJECT
7. ALL CONCRETE USED IN ANY ROADWAY SHALL BE IN COMPLIANCE WITH THE SPECIFIED CLASSES OF CONCRETE IN
THE STANDARD SPECIFICATIONS 5.8 "PORTLAND CEMENT CONCRETE PAVEMENT" AND 7.4.5 "QUALITY OF CONCRETE"
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AS AMENDED BY THE ADDENDUM TO THE NORTH CENTRAL TEXAS STANDARD SPECIFICATIONS FOR PUBLIC WORKS
CONSTRUCTION — 2004. ALL OTHER CONCRETE SHALL BE CLASS A CONCRETE.
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8. ALL REINFORCING STEEL AND DOWEL 'BARS IN PAVEMENT SHALL BE SUPPORTED AND MAINTAINED AT THE CORRECT
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CLEARANCES BY THE USE OF BAR CHAINS OR OTHER APPROVED SUPPORT.
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9. ALL CONDUIT MUST BE PLACED WITH A, MINIMUM 42" OF COVER, UNLESS OTHERWISE SPECIFIED.
10. ALL BACKFILLING WILL BE MECHANICALLY TAMPED IN LIFTS TO A DENSITY OF 95% PROCTOR.. THE REQUIRED
DENSITY WILL BE OBTAINED BY USING TAMPERS„ RAMMERS OR ROLLING EQUIPMENT. LIFTS MAY VARY ACCORDING TO
THE TYPE OF EQUIPMENT USED TO OBTAIN THE REQUIRED DENSITY. SAND AND DEBRIS FREE MATERIAL WILL BE
USED FOR BACKFILL.
DFWT CONTACT: DAAD HATTON 972.670.2113 PREPARED BY: I 'WTELECO , INC.
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WARNING TAPE ~•� -1(7 s 2a � w � �.. � � r I� I , P ..- NOTED� AS
BACKFPLL TRENCH " MIN +.. ,{ f..... _ 3-- �...... 24°� MIM.
CUSHION SAND WITH WITH OEBRIS FREE ., e ._... , , SEPARATION I I ,. .� �, j-----.
MATERIAL TAMPED _
PLACE CONDUIT(S)
TO 38% PROCTOR ! ° -. f ..�� r OONDUIT AS SEPARATION e -- V—
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DESCRIPTION QUANTITY DESCRIPTION QUANTITY PROJECT:
PREPARE
F LACE FLUSH MOUNT VAULT'
TRENCH &
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BORE & PLACEwv BORE & PLACE�CONDUIT CASIMG 259, PLACE PEDESTAL �ryj�r AIRLINE
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PLACE FLUSH DROP BUCKET ADORES
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PULL THROUGH EXISTING CONDUIT PLACE POWER SUPPLY CITY, STATE;
C 'pELL, TX ec
R & R CONCRETE SIDEWALK (SF) ' 25° PLACE WALL BOX & RISER
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DFWT CONTACT: R & R CONCRETE PAVEMENT (SF) PLACE U_G RD RISER SHEET HORIZONTAL SCALE VERTICAL SCALE JOB NUMBER:R.
DATE.
DAVIDHATTON 972.670.2113 AERIAL: OVERLASH OVERHEAD: NEW BUILD � OF 1”= 40' I,,= 10' 1548 141 11-17-2017 pl