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Spectrum-PT190122RIGHT-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 Telephone #: Representative: Franchise Company: 1/11/19 Charter Spectrum 1/15/2019 4/1/2019 Bore new 697' UG bore and pull 1,411' UG. Universal Pure, LLC, 777 Freeport Pkwy, Coppell, TX 75019 GW Communication Solutions Brian Bratton brian.bratton@glassandwire.com E-mail address: william.vazquez@charter.com (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) 214-820-5408 Bill Vazquez 1146187 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 1-11-2019Brian Bratton 1-11-2019Bill Vazquez 22 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. 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 Franchise Utility Name Charter Spectrum Project Location / Applicant's Work Order # (if applicable) 1146187 GW Communication Solutions Submit by E-mail Print Form Universal Pure, LLC, 777 Freeport Pkwy, Coppell, TX 75019 512-820-3887 3 C452 C454 688 613 601 C801-1OO C705 C717 C713 C597 C505-B C505-A NA 449 445 441 782 778 774 437 505 469 465 461 457 453 779 C800-300 C801-350 C800-250 C800-200 C800-150 C800-100 C751 C800*2 612 C460 C616 C456 454500 452 450 511 C448 C446C700-300 C700-200 C700-100 VL C444 605 601 513 509 CNA C615-1/2 572 C595 515 517569-B 544 540 620 516 617 C670 604 608 609 600 722 C708 709 501 461 449 733 731 730 729 727 725 719 717 515 C509 NA 511 754 742 746 750 799 726 730 734 738 C777-150 C777-140 C777-110 C700 707 709 545 C801-NA2 C801-NA1 711 713 721 715 723 758 762 766 770 746 744 742 740 738741 739 736 737 734 735 732 748 750 473 C777-130 C777-120 C921-301 65' 25'30'35'63'64'382'608'130'100'180'124'90'60' 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670FREEPORTPKWY PANEL 800WBETHEL SVR RM PANEL800FREEPORT#3 PANEL 800FREPRTSTE300 TELCO RM PANEL 800FREEPORT#2 SERVER RM PANEL 801FREEPORT SERVER RM PANEL 777FREEPORTFRWY FBTP BC-777FREEPORTFRWY UNIVERSAL PURE 777 FREEPORT FRWY FBTP BC-751FREEPORT 751 FREEPORT PKWY VERIZON BUSINESS FBTPBC-700FREEPORT 700 FREEPORT PKWY DRIVELINE RETAIL 4440AAFBTPBC-700WBETHELRD CTDI 700 W BETHEL RD 4449AA FBTP BC-800WBETHELRD NORLEX 800 W BETHEL RD FBTP BC-670FREPORTPW TOHATSU AMERICA 670 FREEPORT PKWY FBTP BC-800FREEPOR#2 RAYCAP 800 FREEPORT PKWY FBTP BC-800FREEPOR#1 800 FREEPORT PKWY QWESTCOM FBTP BC-800FREPRTSTE300 800 FREEPORT STE 300 ATT WIRELINE FBTPBC-800FREEPOR#3 LVL3COM 800 FREEPORT PKWY FBTP BC-801FREEPORT 4432AA 1709000080 SEG:L2-03-085-144 LEN:'4412 144 CT TO:02-40-3052-3312 01-L2-3052-3315FR: TICK 1:TICK 2: 1740356694 SEG:41-04-278-012 LEN:'612 12 CT TO:10-41-3052-3315 700WBETHELRDFR: TICK 1:TICK 2:3617035350 1744512585 SEG:41-04-255-048 LEN:'3095 48 CT TO:09-41-3052-3315 02-41-3052-3312FR: 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