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Spectrum-PT190111RIGHT-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: Applicant’s Job # / Work Order # 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? Utility Company Represented: Oncor Electric Delivery Atmos Energy Verizon SBC/ AT&T Time Warner Cable CoServ Electric/Gas Other Estimated Start Date Estimated Completion Date* * Completion requires submittal of Completion Verification Notice (see page 4) ¾Was contact made with City and/or utility companies to locate existing utilities? if NO, Reason: Yes No ¾Is removal of existing streets, alleys, or sidewalks necessary? Yes No if YES, project must have City inspection prior to concrete replacement CC: Applicant Public Works Permit File Orig. to Project File Page 1 of 4 Rev. 06/2012 A copy of the approved permit must be on the job site at all times. Yes No General Description of Work (In accordance with Ord. No. 2001-944): PLEASE ATTACH PLAN OF PROPOSED WORK Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) General Contractor Project Name/Location or address Contact # E-mail address to return permit E-mail address: Telephone #: Representative: Franchise Company: (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) 12/31/18 Charter Spectrum 12/31/2018 2/2/2019 Resubmitting ROW permit application due to a redesign. Placing fiber in existing pipe to customer's property from pedestal on ROW. Approximately 226' is underground by bore method. 1111 Executive Dr., Flr 1, Ste 500, Coppell, TX 75019 GW Communication Solutions Brian Bratton brian.bratton@glassandwire.com william.vazquez@charter.com 214-820-5408 Bill Vazquez Right-of-Way Use Permit Application 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 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 972-462-5155. ¾Any 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 ¾Attach 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. ¾Attach 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@coppelltx.gov. ¾NOTE:Notify City Inspector 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. Comments 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.) DateSignature of City Representative DateSignature of Contractor Representative DateSignature of Utility Company Representative 12-31-2018Brian Bratton 12-31-2018Bill Vazquez 11 January 2019 UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are minimum requirements for utility relocation projects: 1.A 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. 8.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. 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 - 1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-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)940/ 898-5138 AT&T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY 214/ 215-3031 (Rich Millenman)817/ 588-5800 COSERV Gas & Electric DENTON CO. LEVEE DISTRICT 940/ 321-7800 x 7624 (Greg Ward)214/ 352-5118 (Richard Hightower) EXPLORER PIPELINE Atmos Energy 918/ 493-5100 (Patrick Nwakoby)972/360-4428 (Gary Dickinson) ONCOR Electric Delivery 972/ 323-8917 (Larry Redick) VERIZON COMMUNICATIONS 1 800 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) Page 3 of 4 Page 4 of 4 UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT COMPLETION 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 Coppell specifications. Failure to schedule verification inspection may delay future projects. Franchise Utility Name Project Location / 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 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 Follow-up needed? Follow-up scheduled for Yes No and found to be acceptable / not acceptable because of Streets Maintenance Division on ™Inspected by and found to be acceptable / not acceptable because of Utilities Maintenance Division on ™Inspected by Follow-up needed? Follow-up scheduled for Yes No Charter Spectrum 861696 GW Communication Solutions Submit by E-mail Print Form C1111-NA 856'80'260'20'146'403' 960' 20'47'1' 7'7'7'51' 630' 87'60'9'08-41-3048-3318 609364A 01-41-3048-3318 PANEL1111EXECUTIVEDR2 IDF ROOM 4437AA FBTPBC-1111EXECUTIV2 1111 EXECUTIVE DR CENTURYLINK 1739487158 SEG:41-04-259-048 LEN:'1184 48 CT TO:01-41-3048-3318 02-41-3048-3318FR: TICK 1:TICK 2:1906417710 1709000079 SEG:L2-03-083-144 LEN:'13117 144 CT TO:01-L2-3048-3321 01-L2-3052-3315FR: TICK 1:TICK 2: 1746718549 SEG:40-04-471-048 LEN:'486 48 CT TO:08-41-3048-3318 1111EXECUTIVEDR2FR: TICK 1:TICK 2: 1738303921 SEG:41-04-141-024 LEN:'1731 24 CT TO:01-41-3048-3318 03-41-3048-3318FR: TICK 1:TICK 2: 0 0 1 V 03-41-3048-3315 03-41-3048-3318 C306-100A C204-NA3 C204-NA2 C204-NA1 C204*7 C204-NA4 C555 C500*4 C500-40 C480-100 C1150-300 C1150-200 C1150-100 C425 C555-200 C505 C455 C306-100D C450-NA2 C450-NA1 C306-150 C1111-200 C1110-100 C1110-300 C1110-500 C1110 C508-NA1 C508 C1151 C1150-600 C480-200 C480-300 C480-400 C440*5 C1111-500 C1111-100 29'90'15'70'381'50' 340' 448' 25'70'1' 18'4'32'259'80'157'45'99'100'471'30'145'155'150'85'785'560'15'60'8' 33'151'50'151'600'48'323'379'46'156'62'10' 345'53'400'385'224'22'30'5'88'310'239'125'10'22'35'5' 930' 5'330'47'16'58'192'227'20'15'122'165'616'10'54'82'616'430'30'82'50'200'196'60'147' 118'28'248'300'20'12'20'232'15'520'270'25'100'96'200' 505'120'45'75'20'66'20'20'60'12'26'40'137'870'475'65'242'1'215'286'69'25'60'500'50'315'450'02-41-3048-3318 09-41-3048-3318 609364B 06-41-3048-3318 PANEL1150ENTERPRISEDR SERVER RMPANEL508WRANGLERDR SERVER RM PANEL555AIRLINEDR1 SERVER RMPANELSTE 30 FDC RISER PANEL 440WRANGLERDR-2 NETWORK CLOSET PANEL 1110EXECUTIVEDR COMM ROOM PANEL 440WRANGLERDR-1 STE 300 SERVER RM PANEL 480WRANGLERDR PANEL1111EXECUTIVEDRPANEL425AIRLINEDR TELCO ROOM PANEL 306AIRLINEDR SERVER RM PANEL 204AIRLINEDRIVE IT RMPANEL204AIRLINEDR PANEL555AIRLINEDR SERVER RM PANEL505AIRLINEDR PANEL1151ENTERPRISE FBTP BC-306AIRLINEDR 306 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SEG:41-04-139-012 LEN:'998 12 CT TO:03-41-3048-3318 508WRANGLERDRFR: TICK 1:TICK 2:2535024020 1739586474 SEG:41-04-274-012 LEN:'1168 12 CT TO:03-41-3048-3318 505AIRLINEDRFR: TICK 1:TICK 2:63887634 1738303992 SEG:41-04-140-024 LEN:'785 24 CT TO:03-41-3048-3318 1151ENTERPRISEFR: TICK 1:TICK 2: 1744453282 SEG:41-04-426-048 LEN:'1298 48 CT TO:03-41-3048-3318 1150ENTERPRISEDRFR: TICK 1:TICK 2: 1742197872 SEG:41-04-139-012 LEN:'998 12 CT TO:03-41-3048-3318 508WRANGLERDRFR: TICK 1:TICK 2:2535024020 1745125787 SEG:41-04-452-048 LEN:'343 48 CT TO:03-41-3048-3315 555AIRLINEDR1FR: TICK 1:TICK 2: 1 0 0 3 0 0 7 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 4 0 2 0 0 1 5 0 0 1 0 0 1 0 1 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 5 0 0 0 0 0 1 0 2 1 0 0 4 0 0 0 0 0 2 UC UC MHMH V UC MHUCMH UCMH VUC V H H UCUC UC AGG IN 2ND FLR TELCO MTU ON-NET 5601 DEMOCRACY DR 1) ZS PHARMA INC 2) FLUOR ENTERPRISES, INC MTU ON-NET 1) GA COMMUNICATIONS 480 WRANGLER DR AGG IN TELCO RM 2) GEMMY INDUSTRIES #100 SERVER ROOM PUMP ROOM RM SERVER STE. 500 TELCO ROOM 100-700 IT RM SERVER ROOM STE #100 TELCO ROOM MAIN SERVER RM TELCO RM 100-500ENTERPRISE DREXECUTIVE DRAIRLINE DR CONDUIT" ? 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