Verizon Wireless-PT240220Disclaimer: This permit form is intended to reflect Texas Local Government Code Chapter 284, City of
Coppell Code of Ordinances, and City of Coppell Design Manual for Installation of Network Nodes and
Node Support Poles.
Mobile Communications Infrastructure Permit (See City of Coppell Design Manual for Installation of
Network Nodes and Node Support Poles…)
Submitting under Chapter 284 of Texas Local Government Code? Yes No
If yes, continue below. Otherwise, continue with standard right‐of‐way permit.
** All permit requests will be accompanied by engineered plans identifying any existing city or private
utilities (underground and overhead on separate sheets), existing right‐of‐way limits, existing utility
easements, structures, and any other potentially conflicting topographic information.
Number of network nodes requested? _______________________
For each network node identify or provide the following:
Location – provide latitude & longitude, street address if applicable, and photo of proposed
support pole if existing
Identify district for each network node.
If attaching to existing support pole, documentation of permission to attach pursuant to Chapter
284
If attaching to city‐owned service pole, submit letter requesting attachment and complete
attachment agreement
Color sample for powder‐coating or paint system to match
Color rendering of proposed attachment for each location
Documentation of support pole load analysis for each attachment (Letter/memo from Texas
Professional Engineer, signed and sealed, or approved alternative)
Size and location of equipment cabinets
Number of permitted node support poles requested? ______________________
For each network node identify or provide the following:
Location – provide latitude & longitude, street address if applicable, and photo of proposed
location with surrounding infrastructure (existing poles, cabinets, etc.)
Color sample for powder‐coating or paint system to match existing poles in the same right‐of‐
way
Map of proposed location, existing utility and service poles in the same right‐of‐way, and
distances between each
Height, diameter, and cross‐section of pole
Color rendering of proposed pole for each location
Documentation of support pole load analysis for each attachment (Letter/memo from Texas
Professional Engineer, signed and sealed, or approved alternative)
No new poles will be allowed in Parks or on residential streets with a pavement width <= 50
feet
1
1
DENTON_TAP3_SC
Verizon Wireless Site 03 183 W Sandy Lake Rd
Disclaimer: This permit form is intended to reflect Texas Local Government Code Chapter 284, City of
Coppell Code of Ordinances, and City of Coppell Design Manual for Installation of Network Nodes and
Node Support Poles.
Nature of transport facilities requested? (provide description)
_____________________________________________________________________________________
_____________________________________________________________________________________
Location – provide latitude & longitude, street address if applicable, and photo of proposed
location with surrounding infrastructure (existing poles, cabinets, etc.)
Concealment and camouflage details
Documentation of support pole load analysis for each attachment (Letter/memo from Texas
Professional Engineer, signed and sealed, or approved alternative)
Permit Application and User Fees (Included for reference)
Small cell/network node application fee $500.00 (1‐5 network nodes);$250.00 (each additional
network node); $1,000.00 per pole
Small cell/network node user fees $250.00 annually for each network node; $20.00 per
year for city pole
Transport Facility monthly user fee $28/month x number of network nodes located in
right‐of‐way
Collocation on city service poles fee $20/year/service pole
Installation of new Node and Pole in Public ROW
Signature of City Representative Date
VERIZON WIRELESS REPRESENTATIVE: Cameron Harmon, 512-767-6426
ENGINEER: Alex Hershey, KGI Wireless, 512-767-6463
Scott Latta 02/19/2024