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ST22-02-PT250613A 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.-- 06/12/2025 Howell and Bullock Relocation near 817 Howell Dr, Coppell, TX 75019 n Patrick McKenzie Patrick.Mckenzie@atmosenergy.com (972) 360-4428 Prime Utility Services Jennifer Mosier jmosier@primeutilityservices.com (469) 261-3011 INSTALL 500 FEET OF 4 INCH HDPE IP GAS MAIN. INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN. REPLA 06/16/2025 10/15/2025 n n n 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. 06/12/2025 06/12/2025 patrick.mckenzie@atmosenergy.com Patrick McKenzie Jennifer Mosier X Marcus Marion 06/13/2025 CONTACT CITY OF COPPELL ROW INSPECTOR TYLER BOYER (469-978-0818, tboyer@coppelltx.gov) AT LEAST 48 HOURS PRIOR TO ANY CONSTRUCTION ACTIVITY 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 Atmos Energy Corp 817 Howell Dr, Coppell, TX 75019 Prime Utility Services (214) 620-7832 NO.DATE REVISION DESIGN DRAWN DATE SHEET NO.JOB NO. CITY OF COPPELL , DALLAS COUNTY, TEXAS STREET RECONSTRUCTION (NORTH OF SOUTHWESTERN BOULEVARD) HOWELL DRIVE AND BULLOCK DRIVE HOWELL DRIVE AND BULLOCK DRIVE7557 RAMBLER ROAD SUITE 1400 DALLAS, TX 75231 972.235.3031 TX REG. ENGINEERING FIRM F-14439 TX REG. SURVEYING FIRM LS-10193805 MATCH LINE - LINE WW-2 STA 3+00MATCH LINE - LINE WW-2 STA 3+00, LINE W-1 STA 4+308 WATER & WASTEWATER PLAN TIE IN TO EXISTING 3 INCH PE GAS MAIN INSTALL 500 FEET OF 4 INCH IP HDPE GAS MAIN INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN INSTALL 4 INCH HPDE GAS MAIN W/ 3' OF CLEARANCE FROM CITY UTILITIES INSTALL 3/4" SERVICE LINE W/ 3' OF CLEARANCE FROM CITY UTILITIES INSTALL 3/4" SERVICE LINE W/ 3' OF CLEARANCE FROM CITY UTILITIES INSTALL 3/4" SERVICE LINE W/ 3' OF CLEARANCE FROM CITY UTILITIES INSTALL 3/4" SERVICE LINE W/ 3' OF CLEARANCE FROM CITY UTILITIES RETIRE 500 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN. Assume a 48" depth of cover for the proposed 8" water line INSTALL 500 FEET OF 4 INCH HDPE IP GAS MAIN. INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN. REPLACE 7 SERVICE LINES. RETIRE 500 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN. · A gauge will be required near the cut location. This gauge should be installed before the line is blown down, to verify that the line in question is live. After blowdown, the gauge will be rechecked to verify that the line is now fully depressurized. · A gauge will be required on both sides of each shut-in location. These gauges will monitor the pressure upstream and downstream of the pipe segment being taken out of service, to ensure that pressures remain within operational limits. MATCH LINE - STA 4+00MATCH LINE - STA 4+00 NO.DATEREVISIONDESIGNDRAWNDATESHEET NO.JOB NO.CITY OF COPPELL , DALLAS COUNTY, TEXAS STREET RECONSTRUCTION (NORTH OF SOUTHWESTERN BOULEVARD)HOWELL DRIVE AND BULLOCK DRIVEHOWELL DRIVE AND BULLOCK DRIVE7557 RAMBLER ROAD SUITE 1400DALLAS, TX 75231972.235.3031TX REG. ENGINEERING FIRM F-14439TX REG. SURVEYING FIRM LS-10193805STA 4+00 TO STA 7+93.1125HOWELL DRIVE PLAN AND PROFILERETIRE 50 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN.INSTALL 500 FEET OF 4 INCH HDPE IP GAS MAIN. INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN. REPLACE 7 SERVICE LINES. RETIRE 500 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN.· A gauge will be required near the cut location. This gauge should be installed before the line is blown down, to verify that the line in question is live. After blowdown, the gauge will be rechecked to verify that the line is now fully depressurized. · A gauge will be required on both sides of each shut-in location. These gauges will monitor the pressure upstream and downstream of the pipe segment being taken out of service, to ensure that pressures remain within operational limits. NO.DATE REVISION DESIGN DRAWN DATE SHEET NO.JOB NO. CITY OF COPPELL , DALLAS COUNTY, TEXAS STREET RECONSTRUCTION (NORTH OF SOUTHWESTERN BOULEVARD) HOWELL DRIVE AND BULLOCK DRIVE HOWELL DRIVE AND BULLOCK DRIVE7557 RAMBLER ROAD SUITE 1400 DALLAS, TX 75231 972.235.3031 TX REG. ENGINEERING FIRM F-14439 TX REG. SURVEYING FIRM LS-10193805 10 WATER & WASTEWATER PLAN INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN INSTALL 2 INCH HDPE GAS MAIN MIN 3' OF CLEARANCE FROM PROPOSED CITY UTILITY MATCH LINE - STA 4+00MATCH LINE - STA 4+00 NO.DATEREVISIONDESIGNDRAWNDATESHEET NO.JOB NO.CITY OF COPPELL , DALLAS COUNTY, TEXAS STREET RECONSTRUCTION (NORTH OF SOUTHWESTERN BOULEVARD)HOWELL DRIVE AND BULLOCK DRIVEHOWELL DRIVE AND BULLOCK DRIVE7557 RAMBLER ROAD SUITE 1400DALLAS, TX 75231972.235.3031TX REG. ENGINEERING FIRM F-14439TX REG. SURVEYING FIRM LS-10193805STA 0+00 TO STA 4+0035BULLOCK DRIVE PLAN AND PROFILETIE IN TO EXISTING 3 INCH PE GAS MAININSTALL 550 FEET OF 4 INCH IP HDPE GAS MAINRETIRE 500 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN.INSTALL 550 FEET OF 4 INCH HDPE IP GAS MAIN. INSTALL 350 FEET OF 2 INCH IP HDPE GAS MAIN. REPLACE 7 SERVICE LINES. RETIRE 500 FEET OF 3 INCH PE, 50 FEET OF 2 INCH PE, AND 575 FEET OF 2 INCH STEEL IP GAS MAIN.· A gauge will be required near the cut location. This gauge should be installed before the line is blown down, to verify that the line in question is live. After blowdown, the gauge will be rechecked to verify that the line is now fully depressurized. · A gauge will be required on both sides of each shut-in location. These gauges will monitor the pressure upstream and downstream of the pipe segment being taken out of service, to ensure that pressures remain within operational limits.