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UPN-PT220707A 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. THIS PERMIT IS ONLY FOR THE PURPOSE OF LOCATING THE CITY OF COPPELL 16" WATER LINES AT IT'S INTERSECTION WITH THE PROPOSED 1.25" CONDUITS. 07/07/2022Scott 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 Liam Hosking EXAMPLE NDentonTapRdW Par k w ay Bl v d W Par k w ay Bl v d NDentonTapRdNDentonTapRdP ar k w ay B l v d P ar k w ay B l v d GIS N DENTON TAP 16in COPPELL WATER LINE 02 Esri Community Maps Contributors, Texas Parks & Wildlife, © OpenStreetMap, Microsoft, Esri, HERE, Garmin, SafeGraph, Main (Water) Potable Non-Potable Abandoned Private Fitting Plug Tee Vault Meter Fire Hydrant Valve Hydrants Unknown Private Public Water Valves Blow Off Valve 7/6/2022, 4:10:56 PM 0 0.01 0.020 mi 0 0.01 0.020.01 km 1:564 City of Coppell | GIS All data, specifically including the geographic and tabular data herein are provided "as is" without warranty of any kind, either expressed, implied, or statutory, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. Locate Coppell 16" Water Line Locate Coppell 16" Water Line ParkwayBlvd ParkwayBlvd LodgeRdP a r k w a y Blvd Parkway Blvd LodgeRdMeadowoodLn ParkwayBlvd GIS E PARKWAY BLVD 16 in COPPELL WATER LINE Esri Community Maps Contributors, Texas Parks & Wildlife, © OpenStreetMap, Microsoft, Esri, HERE, Garmin, SafeGraph, Main (Water) Potable Non-Potable Abandoned Private Fitting Plug Tee Vault Meter Fire Hydrant Valve Hydrants Unknown Private Public Water Valves Blow Off Valve 7/6/2022, 4:23:36 PM 0 0.01 0.020 mi 0 0.01 0.020.01 km 1:564 City of Coppell | GIS All data, specifically including the geographic and tabular data herein are provided "as is" without warranty of any kind, either expressed, implied, or statutory, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. Locate Coppell 16" Water Line 409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERJUNE 27, 2022SMPC-16258LEWS2_027403 ALEX DRCOPPELL, TX 75019PRELIMINARY MKRTELMKR TEL PARKWAY BLVDTOWN CENTER BLVD D/W 105'R.O.W.62' 88' R.O.W. 62' 13' 11' 2'PROP. (20') RISER100'U/G UT IL IT IESCAUTION ! ! ! IN AREAPLACE 100' AERIALSLACK LOOPPROP. SPLICE POINTPROP. UNITE = TBDSTA 0+00EXISTING ONCOR POLE # UNK. (01)U/G UTILITIESCAUTION ! ! !IN AREA1+002+003+004+005+00N DENTON TAP RD NOTE:UNDERGROUND UTILITIES HAVE BEEN PLOTTED FROM AVAILABLE RECORDS AND FIELD OBSERVATIONS BUT ARE NOT NECESSARILY EXACT. IT IS THE CONTRACTOR RESPONSIBILITY TO FIELD LOCATE ALLUNDERGROUND OBSTRUCTIONS AND UTILITIES PRIOR TO CONSTRUCTION. COMPLETE REPAIR OF ANY AND ALL DAMAGES INCURRED SHALL BE AT THE EXPENSE OF THE CONTRACTOR.CAUTION !!!!CONTRACTOR TO LOCATE &VERIFY ALL EXISTING UTILITIESPRIOR TO CONSTRUCTIONCAUTION!!!EXIST. BURIED FIBER, TELEPHONE, CATV, GAS, ELECTRIC, WATER,SANITARY SEWER & STORM SEWER FACILITIES IN CONSTRUCTION AREAAND HAVE NOT BEEN FIELD LOCATED, CONTRACTOR TO VERIFY EXACTLOCATION AND DEPTH PRIOR TO ANY DIGGING AND/OR BORING.WARNINGBURIEDGAS LINESM----02040TEP-06/27/22409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERDALLAS COUNTYCOPPELL, TX----------------..LEWS2_027403 ALEX DRCOPPELL, TX 75019PC-162581 OF 9PLANFIBER OPTIC CABLE BUILDLEWS2_027_P_1.DWGNOTE:ALL AS-BUILTS WILL REQUIRE TEXT AND RED LINES VIA PDF WRITER, NO OTHER FORM WILL BE ACCEPTEDKnow what'sbelow.before you dig.CallR 24ct FIBER OPTIC CABLE (OVERLASH)LF- TRENCH 2-1.25" HDPELF45 1-1.25" PLENUMLF- 24ct FIBER OPTIC CABLE (AERIAL)LF- TRENCH 1-1.25" HDPELF- 1-4" CORE BOREEA- 24ct FIBER OPTIC CABLE (RISER)LF20 DIR. BORE 2-1.25" HDPELF535 UNITE EQUIPMENTEA- 24ct FIBER OPTIC CABLE NEW (U/G)LF580 DIR. BORE 1-4" HDPE CASINGLF- 3/4" PLYWOOD BACKBOARDEA- 6M STRANDLF## 1.25" HDPELF1160 REMOVE & RESTORE CONCRETE S/WSF- 1-2" GALV. U-GUARDEA1 24"X36"X36" HHEA- REMOVE & RESTORE CONCRETE PAVEMENTSF- OVERHEAD GUYFT- 30"x48"x36" HHEA- SLACK COIL IN HH/MHFT### DOWN GUY & ANCHOREA- PULL CABLE THRU EXIST. CUSTOMER CONDUITLF- 24ct FIBER OPTIC CABLE (TOTAL)LF- AERIAL SLACK LOOPFT100 1-2" EMTLF- 24ct FIBER OPTIC CABLE (TOTAL)LF700MATCHLINE STA 5+80 - SEE SHEET 2 STA 0+45 TO STA 5+80DIR. BORE (535') 2-1.25" HDPE E/W24ct ARMORED FIBER OPTIC CABLESTA 0+00 TO STA 0+45TRENCH & PLACE (45') 2-1.25" HDPEE/W 24ct ARMORED FIBER OPTIC CABLESTA 0+00PLACE 1-2" GALV. U-GUARDE/W 24ct FIBER OPTIC CABLESEE PROFILE ONSHEET 1A & 1BSTA 0+00TIE-IN NEW AERIAL CABLE TO UNITE SLACK LOOPPLACE 100' SLACK COIL SCALEHOR: 1" = 40'PROFILEWEST SIDE OF N DENTON TAP RDLOOKING EASTVER: 1" = 10'EXISTING ONCOR POLE # UNK. (01) PROP. UNITE RISER STA 0+00 BEG. TRENCH PROP. 4'X4' BORE PITSTA 0+45 3' MIN. SEPARATION 3' MIN. SEPARATION END TRENCH, BEG. DIR. BORE PROFILESM----02040TEP-06/27/22409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERDALLAS COUNTYCOPPELL, TX----------------..LEWS2_027403 ALEX DRCOPPELL, TX 75019PC-162581A OF 9FIBER OPTIC CABLE BUILDLEWS2_027_P_1A.DWGNOTE:ALL AS-BUILTS WILL REQUIRE TEXT AND RED LINES VIA PDF WRITER, NO OTHER FORM WILL BE ACCEPTED430440450460470430440450460470Know what'sbelow.before you dig.CallR SCALEHOR: 1" = 40'PROFILENORTH SIDE OF PARKWAY BLVDLOOKING NORTHVER: 1" = 10'PROP. 4'X4' BORE PITSTA 0+451+002+003+004+005+00END TRENCH, BEG. DIR. BOREN DENTON TAP RD3' MIN.SEPARATION 3' MIN.SEPARATION3' MIN.SEPARATION3' MIN.SEPARATION3' MIN.SEPARATION 4' MIN. DEPTHE/W 24ct FIBER OPTIC CABLEDIR. BORE (535') 2-1.25" HDPEPROFILESM----02040TEP-06/27/22409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERDALLAS COUNTYCOPPELL, TX----------------..LEWS2_027403 ALEX DRCOPPELL, TX 75019PC-162581B OF 9FIBER OPTIC CABLE BUILDLEWS2_027_P_1B.DWGNOTE:ALL AS-BUILTS WILL REQUIRE TEXT AND RED LINES VIA PDF WRITER, NO OTHER FORM WILL BE ACCEPTED430440450460470430440450460470Know what'sbelow.before you dig.CallRMATCHLINE STA 5+80 - SEE SHEET 2A MKR TEL LODGE R D PARKWAY BLVD88'R.O.W.62'4'9'13' 13' 9' 4'50'R.O .W .33'11'6'5'U/G UTILITIESCAUTION ! ! !IN AREAU/G UT IL IT IESCAUTION ! ! ! IN AREA U/ G U T I L I T I E S CA U T I O N ! ! ! IN A R E A 50'R.O.W.33'9'5'4'ALLEY40+0041+0042+0043+0044+00 45+00 46+00U/G UTILITIESCAUTION ! ! !IN AREALODGE RD NOTE:UNDERGROUND UTILITIES HAVE BEEN PLOTTED FROM AVAILABLE RECORDS AND FIELD OBSERVATIONS BUT ARE NOT NECESSARILY EXACT. IT IS THE CONTRACTOR RESPONSIBILITY TO FIELD LOCATE ALLUNDERGROUND OBSTRUCTIONS AND UTILITIES PRIOR TO CONSTRUCTION. COMPLETE REPAIR OF ANY AND ALL DAMAGES INCURRED SHALL BE AT THE EXPENSE OF THE CONTRACTOR.CAUTION !!!!CONTRACTOR TO LOCATE &VERIFY ALL EXISTING UTILITIESPRIOR TO CONSTRUCTIONCAUTION!!!EXIST. BURIED FIBER, TELEPHONE, CATV, GAS, ELECTRIC, WATER,SANITARY SEWER & STORM SEWER FACILITIES IN CONSTRUCTION AREAAND HAVE NOT BEEN FIELD LOCATED, CONTRACTOR TO VERIFY EXACTLOCATION AND DEPTH PRIOR TO ANY DIGGING AND/OR BORING.WARNINGBURIEDGAS LINESM----02040TEP-06/27/22409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERDALLAS COUNTYCOPPELL, TX----------------..LEWS2_027403 ALEX DRCOPPELL, TX 75019PC-162588 OF 9PLANFIBER OPTIC CABLE BUILDLEWS2_027_P_8.DWGNOTE:ALL AS-BUILTS WILL REQUIRE TEXT AND RED LINES VIA PDF WRITER, NO OTHER FORM WILL BE ACCEPTEDKnow what'sbelow.before you dig.CallR 24ct FIBER OPTIC CABLE (OVERLASH)LF- TRENCH 2-1.25" HDPELF- 1-1.25" PLENUMLF- 24ct FIBER OPTIC CABLE (AERIAL)LF- TRENCH 1-1.25" HDPELF- 1-4" CORE BOREEA- 24ct FIBER OPTIC CABLE (RISER)LF- DIR. BORE 2-1.25" HDPELF589 UNITE EQUIPMENTEA- 24ct FIBER OPTIC CABLE NEW (U/G)LF589 DIR. BORE 1-4" HDPE CASINGLF- 3/4" PLYWOOD BACKBOARDEA- 6M STRANDLF## 1.25" HDPELF1178 REMOVE & RESTORE CONCRETE S/WSF- 1-2" GALV. U-GUARDEA- 24"X36"X36" HHEA1 REMOVE & RESTORE CONCRETE PAVEMENTSF- OVERHEAD GUYFT- 30"x48"x36" HHEA- SLACK COIL IN HH/MHFT100 DOWN GUY & ANCHOREA- PULL CABLE THRU EXIST. CUSTOMER CONDUITLF- 24ct FIBER OPTIC CABLE (TOTAL)LF- AERIAL SLACK LOOPFT- 1-2" EMTLF- 24ct FIBER OPTIC CABLE (TOTAL)LF689MATCHLINE STA 39+59 - SEE SHEET 7 MATCHLINE STA 45+48 - SEE SHEET 9STA 43+43 TO STA 45+48DIR. BORE (205') 2-1.25" HDPE E/W24ct ARMORED FIBER OPTIC CABLESTA 39+59 TO STA 43+43DIR. BORE (384') 2-1.25" HDPE E/W24ct ARMORED FIBER OPTIC CABLESEE PROFILE ONSHEET 8A & 8BSTA 43+43PLACE 24"X36"X36" HHPLACE 100' SLACK COIL SCALEHOR: 1" = 40'PROFILEWEST SIDE OF LODGE RDLOOKING EASTVER: 1" = 10'PLACE 24"X36"X36" HH BEG. DIR. BORE STA 43+43 E/W 24ct FIBER OPTIC CABLEDIR. BORE (205') 2-1.25" HDPE3' MIN. SEPARATION 3' MIN. SEPARATION 3' MIN. SEPARATION PARKWAY BLVD3' MIN. SEPARATION 45+0044+004' MIN. DEPTH PROFILESM----02040TEP-06/27/22409 INTERNATIONAL - STE 200RICHARDSON, TX 75081TEPFIBERDALLAS COUNTYCOPPELL, TX----------------..LEWS2_027403 ALEX DRCOPPELL, TX 75019PC-162588B OF 9FIBER OPTIC CABLE BUILDLEWS2_027_P_8B.DWGNOTE:ALL AS-BUILTS WILL REQUIRE TEXT AND RED LINES VIA PDF WRITER, NO OTHER FORM WILL BE ACCEPTED430440450460470430440450460470Know what'sbelow.before you dig.CallRMATCHLINE STA 45+48 - SEE SHEET 9A