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Park West CC(7)-PT020618A copy of the approved permit must be on the job site at all times. T M [ C 1 T Y O F ~Qo o~d~D COPPELL Q ~ RIGHT-OF-WAY USE PERMIT APPLICATION Submit permit request to the Engineering Dept., Towa Center, 255 Parkway Blvd. Date of Submittal: ~ ~-~~ _ ~ PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) License Agreement Approved (date) / / CertiFed Telecom Provider? Y N ^ Plans provided and approved (Erosion Control/safety fences musty-be__11installed prior to beginning (work) ! ,p ~^ Project Name /Location: R EU t'S i0 N ~~Q ~o u t1 ~' ~ 0 ll ~ 9 S~ ~~~T~1 /lE Rd ~ f ©~ ~ / General Contractor: Permit issued to Company / Representativ1e: ~0/I/ ~/LTdI~ Address: J ~~ ~ ~ ~Ln'1 ~T . L ~ w js v~l/~ ~~C TSO,~ 7 Telephone #:.701 ' ~ ~ ~ ~ a °~ Emergency Telephone #: Utility Company Represented: ^ TXU Electric ^ TXU Gas Verizon ^ SWBell ^ Paragon/AT&T Broadband ^ CoServe Comm ^ CoServe Elect. ^ Other - If "Other" is checked, please note that franchise or right-of-way use agreements will be required and need Council approval prior to beginning work. Permit cannot be approved until that time. General Description of Work (provide copy of approved plans): renc ~ © ~ ~ d lic-/ ~ 151 ~ C ~ Drv yr L~e ~Q'~I ftG/1ai 1 ~acill ~~e c -~~' l/99 S, ,~e~-/rye ~Pa~~ - Was contact made with Citx~' and/or utility c,ompa res to locate existing utilities? if NO, Reason: ~~ t~/Q,s ~'1~ gar f4 ~a~1S7r'l(C~ai7 YES ^ NO - Is removal of existing streets, alleys, or sidewalks necessary? YES ^ NO if YES, must have City inspection prior to concrete replacement Right-of--Way Use Permit Application Page 2 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at the applicants expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). - Any excavation requiring closing of a streetlalley must be reported prior to closing to the following: Police Department @972-304-3600 Fire Department ®972-304-3500 Street Department ~ 972-304-3546 Engineering Department (~ 972-304-3679 - Attach barricade plan /trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a. m. unti13:00 n.m. ONLY unless otherwise approved by City Engineer. - Attach Work Order (franchise only). - Contact must be made with City and utility companies to locate existing utilities 48 hours prior to beginning of work. ,~ Signaturepf Utility Company Representative Signature of Contractor l~'ep~esentative Printed Name D~ ~ a Printed Na ~~ Date Q Q "Q Date o~.~redo~ ~~U1~Y r~. T~~Y~~r Signature of City Representative Printed Name z Date (Application with original signatures needs to be submitted to the Engineering Department before approval.) - Comments: - NOTE: NolzJy City Inspector at 972-304-3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. ' (Backfill must meet all construction standards approved by the City of Coppell) 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. ERT[CAL SCALE : 1' = 8' "3594195 i02) a- R N V 750' 2422.10 W 0 R I~ S A F E L~ Y M°280482 i9 AKF 200-24 T PH A "' 012,976-1000 014,201-225 <PP> XDD,51-200 m B7 f7 "3594195 a- 8' SS-__o CONTRACTORSe LOCATE BURIED SPLICE & DIG SPLICE PIT. \\ I :, '3567670 IPPX-021 o- 25 ~ ~ S~ <3P004KT) M"280482 a~ 41' 2423.10 ('7 °~ XDD,266021000<PPX>) X4~Z3.~1~ '3567670 o- a S~~ "3563889 -o ~ 8;_._._. -~-~-~-~- - -~- -- -~-~-~- - -~-~~-10' HP GAS-~- - -~-~-~- - -~- - --~-~- -~---~-~- ~-~-._._._._.. ~ J; ~~ 9 q CO r~ NCO e ti~ 12' WL _. _. _. _.....~H .._.._.._.._.._.. F H "3563889 (86) -0 "10760 (86) --~ "3594068 (PP) -0 M°232486 M"232486 <3p004HV> M°280482 567' 2423.10 335' 2423.10 1750' 2423.10 AEF 600-24 AEF 600-24 AKF 200-24 06,1101-1125 06,1101-1125 014,301-450 <PP> 06,1151-1200 06,1151-1200 XDD,151-200 <PP> 06,1126-1150 06,1126-1150 05,501-600 05,501-600 012,1-250 012,1-250 012,976-1000 012,976-1000 014,451-500 014,451-500 012,326-400 012,326-400 _ ~ ao -d0' HP GAS- ~_._._._. BORE & PL 78' 4' PVC WRANGLER DR 12' WL GENERAL NOTES m 0 I. CONSTRUCTION Fpi TXIS PROJECT MILL BE ~TNEEN W p/ T T' T Q' GONE D85ERYING all THE REWIRED RULES P ACEMENi I0N AHO FINAL MAKING EX CAY PROPER SIGNS MILL BE aNp REGULATIONS INCLUDED AS PAPT Oi TXE BACKfILL Fql TRENCHES m W . PLACED ALONG R.O.N. aS AEOUIRED BY STATE. Ofl ExCAYA1E0 CABLES. N 2^r~ ^ couNTY, aea urr• a No FOREIGN DEBRIS NAY BE A Pmr of rHE BxKful 7 J~ Q 2. ALL CON$TPUCTIW MILL CONFORM 70 Fqi TRENCHES OR E%CAVATEO CABLES. N ~ n ~ GENERAL SYSTEM PRACTICES. q. LOCATION OP UTILI11E5 IS TXE RESPWSIBLITY OF T CH OCATIONS CQ ^ m ~ U i TA E R P ~ N6 SL L THE CONTRACTOII VIETHEP OP NO ~ $HOMN W PAINTS. fV [L V 1 /~ m ti '~ N LD ~ ~ pI GDYE NMEX L X P,CITY,RAILROpp i0M AGENCIES ARE REWIRED. KL NORK PER• ' 1O. ANY DMAaGE i0 UTILITIES IN TXE LWNSE OF (0 y nJ m $ fORNEO NILI COMPLY NITX THOSE AGENCIE THE NORIC SHALL BE REPAIRED BY Tx CONTRACipi (~ (n ti Nti ~ '~' STANDARD SPECS AND SAFETY AIRES. Ai XIS ONN ExPENSE. ~ ~ ~.\, °jm LO ~ +. FACILITIES ARE PLOTTED USING AVAIL- IL RIGMT•OF-MAY SHALL BE SMOOTHED NITM ALL YOIO$ (*~ ()` m O ~ nl~ # .., CQ O p O ICY '" f11 k "'Q nl ~~ I I ~lE PLANS AND FIELD OBSERVATIONS. THE aC1UAl LOCATION AND OEPTX Of UTILITIES TO BE VERIFIED BY PLACING FILLED BEHIND PLONING OA ExCAYATIW OPERATIONS DnILY, IMOERGROUTA OBJECTS ENCOUNTERED oe~ BROUGHT TO TIE $U1FaCE WRING PLOMING qt E%CAVATING 5lIPLL ~ PflOFYTLY IIEMDYEO FROM THE flIGMT-OF•NAY I V0 ~ CWTRACiOR, TXE PLACING CWTRACTpI I$ . TO NOTIFY STAIE,000NTY,LITY AND ALL m O1HEA UTILITY COMPANIES ~B HRS PRIDi 12. ALL CNANGES OR OEYIATION$ MUST BE FIR51 ~ (~(JI ~[ J i( J TD CONSTRU[iIW ST11RT. MPRDYED BY YERIiON ENGREERIMD. ER SIGNS AS DIRECTED BY GTEPS R (~-j , , 5. ALL RIGNT$ Of NAY SHALL RE RE57ORE0 . K U. PLACE RWTE B MA .-Y rV ~ ~ L L 10 ORIGINAL OR BETTER CgOITIW. ACED aT MINIMUM DEPTH P , p 6. CABLE MILL BE L OF OB'UNLES$ OTHERNISE $PEC[FIEO. _._ ~ ti 1199 S.BELTLINE RD °3594196 (PP1--0 <3P004KT> M°280482 330' 2423.10 AKF 200-24 012,976-1000 <PP> m ~ 014,201-225 <PP> "3594077 2423.10 (PP1 a C.O."- R -o XDD,51-200 (PP> m 3594196 (3P004HV> MR180006 PVC-GT42-4 1 m BELTLINE RD-------~ ~ 600'W-W m APPROX 250' _._._._._._._._._._._.N_ _._._._._._._._._._--.-.-.-- N ' 10' HP GAS --- -~-~-~--~- ---~- --~-~-~- .~ °3594068 -fl °10760 -0 °3594077 U011301 _.._.._.._.._.._.._.._.._.._.._.. w._..._.._.._.._.._.._.._.._.._.._.._.._ _.._.._.._.._.._.._.._ _.._.._.._.._.._.._. _ _ ._.._ _.._.._ w "2001633 2441.10 (92) ~ W M°MANHLE ' N U) +.+ MH °105 5'x 3'BOx CULVERT 6'x 3'BOx CULVERT C L in in F H N TRENCH CABLE ~D5' BoOoC° AND 3~" DEEP NOTE AREA-SPLICING9BONDING & GROUNDING WI~~ BE DONE PER GTEPS" ISD=X7/31/02 m m 12' WL VERIZON sll AREA STATE: Tx DIVISION: EXCH.: 5647 REM. CD.: 000 W,~,; 4620 WO NO.: 3P004KT CONTROL NUMBER:. TITLE: ADD COUNT TO 1199 S. BELTLINE RD TAX DST,: TWP:4620 RNG.: SEC.: SAL: DATE: 06/07/02 REV., GATE: 06/07/02 CALE: 1'=40' FILE: WP3 DRWN MM ENG MM APRVD 3 PRINT OF 3