Asbury Manor Electrical Conduit-PT221019A copy of the approved permit must be on the job site at all times
Page 1 of RIGHT-OF-WAY USE PERMIT APPLICATION Rev.08/2020
Permit Valid for Days From Date of Approval
All activity authorized by this permit shall be in accordance with
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
Estimated Start Date:_______________ Estimated Completion Date:_________________
Has 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
10/11/2022
498 N COPPELL ROAD
BORE UNDER WESTMINSTER AND EXTEND EXISTING POWER.
Asbury Manor HOA
Ashleigh Richardson
214-445-2794
Right of Way Use Permit Application Page 2 of
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
A copy of the valid approved City of Coppell permit is required on the project site at all times.
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.
Proper erosion control measures must be taken, in accordance with the Coppell Erosion Control
Ordinance No. 91-514.
Follow Texas MUTCD standards for work in traffic zones. Lane closures require the use of a
board for advance warning.
Grading shall be restored or improved, and sod replaced when necessary.
10/19/2022Scott Latta
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