Cotton Belt-PN230403A 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.
04/03/2023Scott 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