Crown Castle-PT230420A copy of the approved permit must be on the job site at all times
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PagelofsCO|PEIL RTGHT-oF-wAv usE pERMtr AppLIcATIoN Rev.08/2020
' '" ¡ ' i"r * t 't- ' Permit Vøtid Jbr 120 Days From Date of Approvat
All activity authorized by this permit shall be in accordance with
CHAPTER 283 of the Texas Local Government Gode and the City of
Goppell Public Rights-of-Way Management ordinance No. 20Ol -944
Date of Submittal: 4l1aD2 Applicant's Job # / Work Order # 925 Freeoort Pkwv
Project Name / Location and Address: 1421 S Beltline Rd
Permit Fee: $100.00 (No fee for applícatíons submítted on behalf of Utílity Compønies wíth ø cuwent
Public Rights-of-14'ay Manøgement Ordínønce Registration). S.P.C.O.A. Certifïcate #
60988
Contractor Information:
General Contractor : Rnrten
General Contractor Representative: Sadiq Jangda
E-mail Address: sadiq.jangda@bortec.co Telep hone: 469-258-4402
Project Information:
t E Atmos Energy E Frontier E Spectrum
E-mailAddress stle.com T
tr
Utility Company Representative : Jen Younq
elep hone: 214-991-2367
l-rmrrn ôac{la Eihar I I l-
iennifer-vounotô
E Level 3
General Description of Proposed Construction (Anøch Pløn &. ProJíle, See Pøge 5 for Exømple):
CROWN CASTLE IS PROPOSING TO PULL THRU EXISTING CONDUIT 41 1'& BORE 254' OF 24Cf
FOC & PLACE 150'OF SLACK. PLACE (1) 24"X36',X30" HANDHOLE ON S BELTLTNE RD
Estimated Start Date: 512123 Estimated Completion Date
Has 811 and/or utility companies been contacted 48 hours prior to locate existing utilities?
ls removal of existing streets, alleys or sidewalks necessary? Yes E No Elx
lf YES, repair must have a Gity inspection prior to completion. Call 972-304-3679.
ls closure of any traffic lanes or driveway approaches necessary? >Ves E NoE
lf 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, gT2-304-3600 Fire Department, 972-304-3512
Street Department,972462-5150 Engineering Department, 972-304-3679
approved by the City Engineer.
-Work activity is permitted from 7:00 a.m. until 7:00 p.m., Monday through Friday only.--
Yes I NoxE lf No, state reason . will call in locates when permits are received prior to construction
Traffic lane closures are allowed 3:30 p.m. ONLY unless otherwisefrom 9:30 a.m u
:812123
Right of Way Use Permit Application Page 2 of 5
Thís øpplicøtion, with signøtures of Utility ønd Contructor representøtives, must be submitted to the
Engíneering Departmentfor approvøl príor to commencing work. Printing your nøme and døte on this
form índicates your acceptance of the terms ønd conditions of this øpplication.
Applicønt shall indemnify andforever hold harmless against the City of Coppell each and every cløim,
demønd, or cnuse of action that may be made or come against it hy reøson of or if any way ørising out of
the closare, blocking, excøvating, cutting, tunneling, or other work by the øpplicant under permit from
the City, íf such permit is granted.
Ç"rr*71- /rry 4t12123
Sigflature 6t utiffty c Representative Date
¿/-m-*">?L/L-a
re of ractor Re ntative Date
APPROVED CityRepresentative Date
E DENIED
Comments:
E-mail address to return completed permit jennifer.young@crowncastle.com
Submit þermit application by e-mail to engineer@coppelltx,qov, or deliver application to the
Engineering Department, Town Genter Business Parkr 265 E Parkway Blvd, Goppell, TX 75019
SUMMARY OF REQUIREMENTS FOR YVORK WITHIN
THE C¡TY OF GOPPELL 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 properfy 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 improvedo and sod replaced when necessary.
04/20/2023Scott Latta
X
Right of Way Use Permit Application Page 3 of5
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 oftraffic control devices and signage is the responsibility ofthe 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. Util¡ty line locates must be performed in advance of construction by calling 8L1 or logging on
to the Texas8ll Portal at: http:l/wrvw.texas81l.orq. Additional utility contacts are as follows:
COPPELL PUBLIC WORKS. OPERATIONS
972-462- 150
HO MEOWN ER ASSOCIATIONS
Planning Department: H.O.A. List
F.E.M.A.
940-898-5399
DALLAS WATER UTILITIES
214-670-5ltt
AT&T
800-924-9420
COSERV Gas & Electric
940-321-7800
FRONTIER COMMUNICATIONS
800-584-3384
SPECTRUM CABLE
833-780-1880
COPPELL PUBLIC WOR](S. ENGINEERING
972-304-3679
DENTON COUNTY LEVEE DISTRICT
972-315-5019
T.C.E.Q. Region 4
817-588-s800
IRVING WATER UTILITIES
972-721-2281
ATMOS ENERGY
888-286-6700
EXPLORER PIPELINE
918-493-5100
ONCOR ELECTRIC DELIVERY
888-313-6862
14. Debris nÍust 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. ooClean-up" requires returning work area to pre-construction condition or better.
Right of Way Use Permit Application Page 4 of 5
TH€qIIYOF
COPPELL
,.. c: ' i,'.,¡. * ,r, tit l.:^'u,,,*_r:*.í.ì'i,.
'rÁ"lD
GOMPLETION VERIFIGATION NOTIGE
Contact Coppell Public \ilorks Operations at9721462-5150 to schedule an inspection with
utility and Streets personnel to verify that your project has been completed to City of
Coppell specifications. Fuilure to schedule veríJícøtion inspection møy delay future projects.
Franchise Utility Name: ,
Project Location or Address:
Sub-contractor Gompany Name:
24 hr. Contact Num
Date of Verification Appointment:Time:_
.INFORMATION BELOW TO BE GOMPLETED BY GITY OF COPPELL PUBLIG WORKS PERSONNEL.
A copy of this completed notice can be e-mailed to the Goppell Public Works
Operations Division, or delivered to the address below:
City of Coppell Public Works Department, Operations Division
816 S. Coppell Road
Goppell, TX 75019
Inspected of Utílíties Møintenance Dívísíon on
øndfound to be Qacceptøble, flnot acceptøble becøuse:
Follow-up needed? El[¿ E Yes, follote-up scheduled
Inspected by of Streets Møintenønce Division on
undfound to be fløcceptable, gnot øcceptuble becøuse:
Follow-up needed? El[o EYes, follow-up scheduled
DATEFRANCHISE NAMETYPE OF UÏLITYCITY OF COPPELLUTILITY PERMITLEGENDSANITARY SEVER UNE -IYA'ÍER UNESTORM DRAIN UNECITY FIBER OPTCGENERAL NOTES:I. SHOW YOUR LINE WTH A DIFFERENT UNE TYPEAND DIMENSION THE DISTANCE FROM EXSÎNG UIILITIES.2. MINIMUM HORIZONTAL SEPARAION:6O" (5 FT).3. MINIMUM \ERTICAL SEPARATON=24" (2 FT).4. MINIMUM BURY DEPIH=18' (1.5 FT).5. PROPOSED FRANCHISE U'TIUTY IN UTUTY EASEMENT,NOT R.O.W., WHEN UNUTY EASEMENT IS PRESÊNT.Uø9ô'2,><zFÈ=fL-5ß'',8É=d+@o=fÉlodJUJ@ocÈIotsoÉlooFzuØfFo>FFa-lE==r3suı8=ãÞÉoIL1" = 5O' MAX.¿i=>IUUPROPOSED FRANCHISEUÎLITY IN UTLITY EASEMENT,NOT R.O.W., WHEN PRESENTSIDEWALKOpPPPfR.O.W.PROPOSED FRANCHISEuTluñ o PP$a'o.STRIET NAME-tsoE-oÉ21" STORM DRA'N6'mRffia7 R.O.W.JoÉ-É50518"24"500500PROFILE AT UTILITY CROSSING(sEE OENERAL NOIES)Odcú3ã PÈL@@uñ=o>qzEtr-!- dt ?-9È d -o!!<= EU LUg'Ë xË xpäUq^-YO,zFÉ=L5noBJÀ@olÉùÈ10' ctt0'ctSTREET CL\o¿=_o>jtslFl=Éo@Élosm:STvwl )mrx surmvf I24- | MrNTTza PtI )r¡mFSIREET-,oPosFn FRANCHTSF Irt try OWR dry [rt tlt:)POSED FRANCHISE UTUTY, UNDER CITY UTIUTPPTMIN COVERMIN SEPARATION495