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Spectrum-PT210622A copy of the approved permit must be on the job site at all times Page 1 of 5RIGHT-OF-WAY USE PERMIT APPLICATION Rev.08/2020 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:__________________ Applicant’s Job # / Work Order #_____________________ Project Name / Location and Address:__________________________________________________ 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 Other:________________________________________________________ Utility Company Representative:____________________________________________________ E-mail Address:__________________________________Telephone:______________________ Contractor Information: General Contractor:______________________________________________________________ General Contractor Representative:_________________________________________________ E-mail Address:__________________________________Telephone:______________________ Project Information: General Description of Proposed Construction (Attach Plan & Profile, See Page 5 for Example): Estimated Start Date:_______________ Estimated Completion Date:_________________ Has 811 and/or utility companies been contacted 48 hours prior to locate existing utilities? Yes No If No, state reason:_________________________________________________ Is removal of existing streets, alleys or sidewalks necessary? Yes No 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 No If 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. ________________________________________ ___________________________________ Signature of Utility Company Representative Date ________________________________________ ___________________________________ Signature of Contractor Representative Date ________________________________________ ___________________________________ APPROVED City Representative Date DENIED Comments: E-mail address to return completed permit:__________________________________________________ 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. 06/22/2021Scott Latta X 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.texas811.org. Additional utility contacts are as follows: COPPELL PUBLIC WORKS - OPERATIONS COPPELL PUBLIC WORKS - ENGINEERING 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 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 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 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 COMPLETION VERIFICATION NOTICE EXAMPLE 947 951 122 943 941 945 949 953 957 961 923 900942 927 931 935 939 939 941 943 945 947 951 949 160'152'98'92' 115'162'153'162'87'135' 600'66'66'123'145'160'58' 123' 177' 174' 161' 133'127'SSS-9-16 39.3 37.5 35.2 2323 2 626 26 26 1715.8 15.9 17.6 23 202320 23 2 2 1 2 2 1 1 2 2 2 2 1 0 0 0 00 R 25 R 25 25 4421AAA2G0 4421AAA1A1 4421AAA1A0 4421AAA2B0 4421AALAGUNA LNFOUNTAINVIEWPOWERED FROM: 4421D SEGMENTED NODE: 4421AA 4421BB 4421CC 4421DD A 71 204 141 137 133 129 125 130 121 126 117 122 113 118 109 114 105 110 101 102 106 121 117 113 109 105 101 145 258'108' 125'126' 141'80' 28'76' 133'99'136' 33'97' 103'-814 2620 23 26 26 8 2023260 2 0 2 3 2 0 0 2 2 2 2 2 2 R 25 4421BBB2H1 T 1MB-1000 @51 4421BBB1H1 36.9 33.5 28.8 51 46.3 39 19 C10 9 2 4421C 88.5 256 4421BBB1H1 4421BB PINYON LN MACARTHUR BLVDSEGMENTED NODE: 4421AA 4421BB 4421CC 4421DD POWERED FROM: 4421D B C189 110 161'623'40' 132'14'5'10'151'65' 129'501'121' S-9-936.7 34.4 30.2 48.5 44.3 37.6 419.5 18.8 16.7 20 0 0 0 1 0 0 0 R 25 R 25 4421CC 4421CCC PS Powers: 4421D 4421AA 4421BB 4421CC 4421DD POWERED FROM: 4421D SEGMENTED NODE: 4421AA 4421BB 4421CC 4421DD 346 390 NA C109 C102 NA NA NA C134 NA NA NA NA NA C1000 C1086 C1080305'192' 89'45'220' 150' 52' 69'26'14'103'161'179'44'66'43'45'107' 6'820.0 20.1 20.2 14172323233 0 3 0 0 0 1 0 2 1 0 1 0 1 0 0 0 30 0 0 V4421DD KIMBEL KOURTKIMBEL KOURTD C950 63'220'40'42'95'210'70' 330' 147' 290'154' 18 17.9 18 14.1 14.7 17.2 14 81720823 1 0 0 0 2 0 0 2 1 SERVER RM 2ND FLR 937 941 945 949 942 946 1100 922 926 930 934 938 152'144'2 2 24419AA 4 4 1 9 AAFOUNTAIN DR 273'255'325'4421AAA1C3 2643676 0 90V 4421D 15 A 12.34A I 3BLE-1000 @51 4421AAA2A0 29.8 30.8 33.1 51 46.3 39 11 10 18 6 4421D 85.6 611 2BLE-1000 @51 4421AAA2G0 32.4 32.4 46.3 39 17 4 85.1 477 2 IN NC4K 4x4 @51 4421BB 51 46.3 39 4421D 89 T 2BLE-1000 @51 4421AAA1A1 31.9 30.2 27.2 51 46.3 39 13 CS1 11 4 4421D 86.2 296 T 1BLE-1000 @51 4421AAA1A0 30.2 29.7 31.7 51 46.3 39 12 7 16 6 4421D 86.8 674 I 2BLE-1000 @51 4421AAA2B0 32.6 32 31.8 51 46.3 39 14 4 16 4 4421D 85.2 424 14 17.2 17.5 18.2 90V 4421C 15 A 6.47A THRU NC4K 4x4 @51 4421AA 51 46.3 39 4421D 89 THRU NC4K 4x4 @51 4421DD 51 46.3 39 4421D 89 20 18.6 16.5 15.9 I 1BLE-1000 @51 4421AAA1C3 26.7 26.4 28.4 51 46.3 39 8 8 12 6 4421D 88.4 797 23 20.8 15.6 S TIE POINT BUILD NEW 3-WAY SPLITTER BUILD NEW LE REBALANCE ACTIVE REBALANCE ACTIVE