Cotton Belt-PN200925A copy of the approved permit must be on the job site at all times
T H[ C I T Y D F
COFFELL Page 1 of 5
RIGHT-OF-WAY USE PERMIT APPLICATION Rev.08/2020
k Permit Valid for 120 Days From Date of Approval
All activity authorized by this permit shall be in accordance with
CHAPTER 283 of the Texas Local Government Code and the City of
Coppell Public Rights -of -Way Management ordinance No. 2001-944
Date of Submittal: 09/22/2020 Applicant's Job # / Work Order #_
Project Name / Location and Address: Silver Line - Freeport Pkwy & SW BLVD
Permit Fee: $100.00 (No fee for applications submitted on behalf of Utility Companies with a current Public
Rights -of -Way Management Ordinance Registration). S.P.C.O.A. Certificate #
Utility Company Information:
❑ Oncor Electric Delivery ❑ Atmos Energy ❑ Frontier ❑ Spectrum
❑ Level 3 p Other:
L
tility Company Representative:
-mail Address: Telephone:
Contractor Information:
General Contractor: Archer Western Herzog
General Contractor Representative: Eric Christman
E-mail Address: echristman@walshgroup.com; smehta@'-Telephone: (817) 939-8878
Project Information:
General Description of Proposed Construction (Attach Plan & Profile, See Page 5 for Example):
WE PREFERABLY NEED A SLOW ROLL TO SHADOW BEHIND A CREW WHILE THEY OPEN AND GET ACCESS
INSIDE OF MANHOLES AND COLLECT DATA ALONG THE CURBLINE AND GUTTER.
Estimated Start Date: 10/07/2020 Estimated Completion Date: 10/07/2020
Has 811 and/or utility companies been contacted 48 hours prior to locate existing utilities?
Yes E] No ❑ If No, state reason:
IIs removal of existing streets, alleys or sidewalks necessary? Yes ❑ No p
If YES, repair must have a City inspection prior to completion. Call 972-304-3679.
Is closure of any traffic lanes or driveway approaches necessary? Yes ❑ No0
IIf YES, a traffic control plan in accordance with TMUTCD standards must be submitted, and
the following departments must be notified of the location and duration of the closure:
Police Department, 972-304-3600 Fire Department, 972-304-3512
Street Department, 972-462-5150 Engineering Department, 972-304-3679
Traffic lane closures are allowed from 9:30 a.m until 3:30 p.m. ONLY unless otherwise
approved by the City Engineer.
--Work activity is permitted from 7:00 a.m. until 7:00 p.m., Monday through Friday only.--
Right of Way Use Permit Application
Page 2 of 5
This application, with signatures of Utility and Contractor representatives, must be submitted to the
Engineering Department for approval prior to commencing work. Printing your name and date on this
form indicates your acceptance of the terms and conditions of this application.
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.
Pablo Retana 09/22/2020
Signature of Utility Company Representative Date
Sid Mehta 09/22/2020
Signature of Contractor Representative
D APPROVED City Representative
❑ DENIED
Comments:
E-mail address to return completed permit:
Date
Date
09/25/2020
Submit permit application by e-mail to engineer@coppelltx.gov, or deliver application to the
Engineering Department, Town Center Business Park, 265 E Parkway Blvd, Coppell, TX 75019
SUMMARY OF REQUIREMENTS FOR WORK WITHIN
THE CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS
1. A copy of the valid approved City of Coppell permit is required on the project site at all times.
2. Property owners (commercial and residential) adjacent to the project must be notified of the
project timeline and provided contractor names and phone numbers. No access to private
property without prior coordination with property owner.
3. Proper erosion control measures must be taken, in accordance with the Coppell Erosion Control
Ordinance No. 91-514.
4. Follow Texas MUTCD standards for work in traffic zones. Lane closures require the use of a
flashing arrow board for advance warning.
5. Grading shall be restored or improved, and sod replaced when necessary.
Right of Way Use Permit Application Page 3 of 5
6. Irrigation repairs must be performed in a timely manner.
7. Follow OSHA trench safety guidelines at all times.
8. Repair existing utilities that are damaged, including but not limited to: Clean -outs, water valves,
wastewater manholes, water lines, wastewater lines and storm sewer lines.
9. Density tests may be required, at applicant's expense, in trench lines (ASTM).
10. Protection and repair of traffic control devices and signage is the responsibility of the contractor.
11. No work is to be done in collector roadways before 9:30 a.m. or after 3:30 p.m.
12. Prior request of work activity on weekends and holidays must be submitted in writing.
13. Utility line locates must be performed in advance of construction by calling 811 or logging on
to the Texas811 Portal at: http://www.texas8ll.ort!. Additional utility contacts are as follows:
COPPELL PUBLIC WORKS - OPERATIONS COPPELL PUBLIC WORKS - ENGINEERING
972-462-5150
HOMEOWNER ASSOCIATIONS
Planning Department: H.O.A. List
F.E.M.A.
940-898-5399
DALLAS WATER UTILITIES
214-670-5111
AT&T
800-924-9420
COSERV Gas & Electric
940-321-7800
FRONTIER COMMUNICATIONS
800-584-3384
SPECTRUM CABLE
833-780-1880
972-304-3679
DENTON COUNTY LEVEE DISTRICT
972-315-5019
T.C.E.Q. Region 4
817-588-5800
IRVING WATER UTILITIES
972-721-2281
ATMOS ENERGY
888-286-6700
EXPLORER PIPELINE
918-493-5100
ONCOR ELECTRIC DELIVERY
888-313-6862
14. Debris must be removed from work area daily and disposed of properly outside the City.
15. Streets, sidewalks and alleys must be kept clear of construction materials and debris.
16. "Clean-up" requires returning work area to pre -construction condition or better.
Right of Way Use Permit Application
T }{ H- C I T V - O R
COPPELL
x s s
COMPLETION VERIFICATION NOTICE
Page 4 of 5
Contact Coppell Public Works Operations at 972/462-5150 to schedule an inspection with
Utility and 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 or Address:
Sub -contractor Company Name:
24 hr. Contact Number:
Date of Verification Appointment: Time:
-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? ❑No ❑ Yes, follow-up scheduled for:
Inspected by:
of Streets Maintenance Division on
and found to be ❑ acceptable, ❑ not acceptable because:
Follow-up needed? ❑No ❑ Yes, follow-up scheduled for:
A copy of this completed notice can be e-mailed to the Coppell Public Works
Operations Division, or delivered to the address below:
City of Coppell Public Works Department, Operations Division
816 S. Coppell Road
Coppell, TX 75019
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