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Frontier-PT231120A 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 LINE AT IT'S INTERSECTION WITH THE PROPOSED 1.5" CONDUIT. 11/20/2023Scott 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 Good afternoon, -Failing to follow these instructions will result in significant delays to the approval process- Please find attached an approved Coppell Water Line Potholing permit and GIS utility map. Near the intersection of S Coppell Rd and Burns St the proposed 1-1.5” conduit will cross an existing City of Coppell 16" water line, which will need to be located by potholing prior to approval of the Right-of-Way permit application. Please follow the steps below to coordinate the potholing of the City of Coppell's 16" water line. 1. Contact Coppell Public Works Operations at 972-462-5150 at least 2 business days prior to the proposed potholing to schedule a representative of the City to be present when potholing the Coppell 16” water line. 2. Using the attached approved potholing permit, record the depth and location of the water line and update the construction plans accordingly, if necessary. 3. The review of the ROW Use Permit application will resume upon successful location of the 16” water line. GIS S COPPELL RD Water Distribution Hydrant Coppell Private Valve Meter Fitting Structure Storage Tank Lateral In Service Under Construction Abandoned In Service - To Be Retired 100 ft Locate City of Coppell 16" water line [Public] Main In Service Abandoned Under Construction In Service - To Be Retired [Private] Main In Service Abandoned Under Construction In Service - To Be Retired Sanitary Sewer Cleanout Fitting Manhole Valve Lateral In Service Under Construction Abandoned In Service - To Be Retired Other Facility [Public] Main In Service Abandoned Under Construction In Service - To Be Retired [Private] Main In Service Abandoned Under Construction In Service - To Be Retired Storm Water Fitting Manhole Outfall Inlet Channel [Public] Main In Service Abandoned Under Construction In Service - To Be Retired [Private] Main In Service Abandoned Under Construction In Service - To Be Retired Rip Rap Weir Structure Basin Transportation System Pull Box Fiber In Service Unknown Under Construction In Service - To Be Retired Proposed Proposed - Approved Base Map City Limit County Line Railroad Commercial Freight DART Cotton Belt Silver Line Parcel 367 S FREEPORT PKWY 367 S FREEPORT PKWY Acct 65096817510070000 APTUNITNUM BUILDING COUNTY DALLAS ELEV 0.00 ESN EXCEPTION_CODE FLOOR FULLADDRESS 367 S FREEPORT PKWY GC_FULLADDRESS 367 S FREEPORT PKWY GC_UNIT HOUSENUM 367 INC_MUNI Coppell LASTEDITOR LBOWYER LASTUPDATE March 21, 2023 LR R POST_CODE 75019 ROOM SNPD S SNPT SNST PKWY SOURCESSAPUNIQUEID Coppell-15827 STREETNAME FREEPORT TAXADD 367 S FREEPORT PKWY-65096817510070000 TYPE Commercial UNIT Last edited by LBOWYER on 3/21/2023, 2:07 PM. Parcel: 65096817510070000 Parcel: 65096817510070000 DallasCAD ACCOUNT: 65096817510070000 DentonCAD ACCOUNT: 65096817510070000 TYPE: COM LEGAL: JESSE MOORE ABST 968 PG 175 TR 7 ACS 37.964 OWNER INFORMATION: WAGON WHEEL PARK COPPELL CITY OF PO BOX 9478 COPPELL, TEXAS 750199478 DEED TRANSFER DATE: 7/13/1998 APPRAISAL YEAR: 2023 *DCAD ADDRESSES ARE NOT OFFICIAL CITY OF COPPELL ADDRESSES* DCAD ADDRESS: 353 FREEPORT PKWY 505 Travis St, Coppell, TX 75019, USAW W W W W WSSSSSSSSSSSSSSSSSSSWWWWWWWW WWWWW WWWWWWWWWWS SSSSSSSSSSSSSSSSSSSSWWWWWS SBURNS ST 60' ROW36"PROPOSED 1 12" HDPE CONDUITCITY SEWER LINEBURNS ST BORE PROFILEBORE DETAILS: PLACED 6' FROM BOCBORE DEPTH: 36"BORE LOCATION: BURNS ST R.O.W.BORE LENGTH: 700'DEPTH TOBE FIELDVERIFIED110:42:0:7727021261 04.2014 2421.201PIREL LT NONARMOR 24ITFTP F0171,221-224+ITFTP H3014,85-87+XDD,8-10+ITFTP F0171,177-178+ITFTP H3002,169-180USE F0171, 177-178220:42:0:3434502727 11.2023 2423.201FIBER 485345454ITFTP H3002,175-176+XDD,3-12+ITFTP F0171,177-178+XDD,15-4833ITFTP FT-1504602FDT MDU 12P 300FT5345454 2423.201IN:ITFTP H3002,175-176+XDD,3-12+ITFTP F0171,177-178+XDD,15-24505 TRAVIS STUSE H3002, 175-176ADD F0171, 177-178ADD H3002, 175-176ADD F0171, 177-178ADD H3002, 175-176SPLICE POINT #4IN HAND HOLE PUSH H3002,175-176 AND F0171,177-178 FROMTHE 24F INTO THE NEW 48FSOURCECOUNT CHANGECOUNT CHANGECITY WATER LINECITY STORM SEWER LINEMAINTAIN 24" MIN SEPARATION24" STORMSEWER LINE8" CITYWATER LINECITY SANITARYSEWER LINEPLACINGEXPOSE RISER CONDUIT ANDUSE EXISTING CONDUITGOING UNDER COPPELL RDPLACINGBORE 700' FROM THERISER TO THE CUSTOMERSENTRANCE CONDUITPLACINGPLACE NEW HAND HOLETO CAPTURE CUSTOMERSCONDUIT244556651.ALL UTILITIES WILL BE LOCATED BEFOREWORK IS STARTED2.ALL LANDSCAPING WILL BE RESTOREDTO ITS ORIGINAL CONDITION3.CONTRACTORS IT IS YOURRESPONSIBILITY TO NOTIFY CITYINSPECTOR PRIOR TO STARTING ANYWORK4.MAINTAIN AM MINIMUM 24" SEPARATIONFROM ALL CITY UTILITIESWORK DESCRIPTION:BORE 700' FROM THE RISER POLE TOTHE CUSTOMERS ENTRANCECONDUIT AND PLACING A HAND HOLEAT THE ENTRANCE CONDUIT, WORKTO BE DON IN BURNS ST R.O.W.SPLICE POINT #5IN NEW HH PUSH H3002, 175-176AND F0171, 177-178 FROM THE 48FINTO THE 24P MDU TERMINALPLACINGMOUNT MDU AND PULLTERMINAL TAIL IN CUSTOMERPROVIDED CONDUITPLACINGIF CONDUIT FROM RISERACROSS COPPELL RD TO3X5 IS BAD MAY REQUIRE ABORE ACROSS COPPELL RD505 Travis St , Coppell , TX 75019 , USA 50 1 1 50 110:42:0:33863032042 09.2013 2422 .201PIREL LT NONARMOR 243F0A0GFITFTP F0171,185+XDD,2+ ITFTP F0171,175-178+ITFTP F0171,211-214+ITFTP F0171,221-224+ITFTP F0171,251-252+ITFTP F0171,254+ITFTP H3002,205-210+XDD,2422 0:42:0 :53000190 04.2014 2423 .201PIREL LT NONARMOR 247F0Q9MDITFTP F0171 ,221-224+ ITFTP F0171 ,253+(XDD,6-16)+XDD,6-10+ ITFTP F0171 ,177-178+XDD,13-16+ITFTP F0171 ,254+ ITFTP H3002 ,205 -210+XDD,2433 0:42:0:772703343 04.2014 2421 .201PIREL LT NONARMOR 24 ITFTP F0171 ,221-224+ ITFTP H3014 ,85 -87+XDD,8-16 )+XDD.8-10+ ITFTP F0171 , 177-178+XDD, 13-16+ ITFTP F0171 ,254-254+ ITFTP H3002 ,205 -210+XDD,24-24 4 40:42:0:7727021261 04.2014 2421.201PIREL LT NONARMOR 24ITFTP F0171 ,221 -224+ITFTP H3014,85 -87+XDD,8-9+ (XDD,10-12)+XDD, 10-10+ITFTP F0171,177-178+ ITFTP H3002,169-180SOURCEUSE F0171, 177-178ADD F0171 , 177-178COUNT CHANGEADD F0171 , 177-178COUNT CHANGESPLICE POINT #1 IN HH PUSH F0171 ,177-178FROMTHE 24F INTO THE 24 F THATFEEDS TO THE HH THAT FEEDSSOUTH ON COPPELLSPLICE POINT #2 IN HH PUSH F0171 ,177-178 FROM THE24F INTO THE 24F AER IAL CABLEFEEDING S ON COPPELL RD3SPLICE POINT #3SPLICERS PUSH F0171,177-178FROM THE 24F INTO THE 24FADD F0171 , 177-178COUNT CHANGEEXCHANGE CIR 70' ROW36"PROPOSED 1 12" HDPE CONDUITCITY SEWER LINE 33" DEPTH UNKNOWNMAINTAIN M IN 24 "SEPARATIONEXCHANGE CIR BORE PROFILEGATEWAY DR 70 ' ROWPROPOSED 1 12" HDPE CONDUIT ( 48F)36"36"10" C ITYSEWER LINE MAINTAIN M IN 24"SEPARATIONMAINTAIN M IN 24"SEPARATION36" C ITYSEWER LINE 16" WATER L INE DEPTH TOBE FIELDVERIFIED DEPTH TOBE FIELDVERIFIED BORE DETAILS: PLACED 6' FROM BOCBORE DEPTH: 36"BORE LOCATION: EXCHANGEROW/GATEWAY ROW PARTIALEASEMENTDEPTH TOBE FIELDVERIFIED BURNS ST 60' ROW36"PROPOSED 1 12" HDPE CONDU ITCITY SEWER L INE BURNS ST BORE PROFILEBORE DETA ILS : PLACED 6 ' FROM BOCBORE DEPTH: 36"BORE LOCATION : BURNS ST R .O .W.BORE LENGTH: 700 'DEPTH TOBE FIELD VER IF IED 110:42:0:7727021261 04.2014 2421.201PIREL LT NONARMOR 24ITFTP F0171 ,221 -224+ITFTP H3014,85 -87+XDD,8-10+ITFTP F0171 ,177 -178+ITFTP H3002,169-180USE F0171 , 177-178220:42:0:3434502727 11.2023 2423.201FIBER 485345454ITFTP H3002,175-176+XDD,3-12+ITFTP F0171 ,177 -178+XDD,15-4833ITFTP FT-1504602FDT MDU 12P 300FT5345454 2423.201IN:ITFTP H3002 ,175 -176+XDD,3-12+ITFTP F0171,177-178+XDD,15-24505 TRAV IS STUSE H3002, 175-176ADD F0171, 177 -178ADD H3002, 175-176ADD F0171, 177 -178ADD H3002, 175-176SPLICE POINT #4 IN HAND HOLE PUSH H3002,175-176 AND F0171 ,177 -178 FROMTHE 24F INTO THE NEW 48FSOURCECOUNT CHANGECOUNT CHANGECITY WATER L INE CITY STORM SEWER LINEMAINTAIN 24" MIN SEPARATION24" STORMSEWER LINE8" CITYWATER LINECITY SANITARYSEWER LINE PLACINGEXPOSE R ISER CONDUIT ANDUSE EX ISTING CONDUITGOING UNDER COPPELL RDPLACINGBORE 700' FROM THERISER TO THE CUSTOMERSENTRANCE CONDU IT PLACINGPLACE NEW HAND HOLETO CAPTURE CUSTOMERSCONDUIT 244 556 6 51.ALL UT ILITIES W ILL BE LOCATED BEFOREWORK IS STARTED2.ALL LANDSCAP ING W ILL BE RESTOREDTO ITS OR IG INAL COND ITION3.CONTRACTORS IT IS YOURRESPONSIBILITY TO NOTIFY CITY INSPECTOR PR IOR TO START ING ANYWORK4.MAINTAIN AM MINIMUM 24" SEPARAT IONFROM ALL C ITY UTIL ITIES WORK DESCRIPTION:BORE 700' FROM THE RISER POLE TOTHE CUSTOMERS ENTRANCECONDUIT AND PLACING A HAND HOLEAT THE ENTRANCE CONDUIT, WORKTO BE DON IN BURNS ST R.O.W .SPLICE POINT #5 IN NEW HH PUSH H3002 , 175-176AND F0171, 177 -178 FROM THE 48F INTO THE 24P MDU TERMINALPLACINGMOUNT MDU AND PULLTERMINAL TA IL IN CUSTOMERPROVIDED CONDUITPLACINGIF CONDUIT FROM RISERACROSS COPPELL RD TO3X5 IS BAD MAY REQU IRE ABORE ACROSS COPPELL RDENGR:PHONE:DRAWN DATE:SCALE:TAX DISTRICT:PROJECTNUMBER:C.O. AREA:EXCH. CODE:DWGOFCNTY:TWNSHP:RNG:SEC:FILE:505 TRAVIS ST COPPELLPLC & SPLC 48F & 24P MDU5345454COPPELL7044311-13-23CASTONGUE2148971699DALLAS1=10022CPPL UNITS / ACCT CODESSPLICING 2423.20132 HRSPLACING2423.201 B0431 EA2423.201 P43C250 FT2423.201 P58B1 EA2423.201 P59A700 FT2423.201 P73A 1 EAADDRESS:SERVICE TYPE:ASSIGNMENT:TEST:SPECIAL NOTES:dB @kHzCUSTOMER:ORDER #:ISSUED:DUE:CITY OF COPPELLPSR395618311-14-2302-19-24505 TRAVIS STCOPPELL, TX. 750191G ETHERNETF0171,177-178Locate City of Coppell16" water line