Town Center L3B3-PT020528A copy of the approved permit must be on the job site at all times.
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RIGHT -OF -WAY USE PERMIT APPLICATION
Submit permit request to the Engineering Dept., To Center, 255 Parkway Blvd.
Date of Submittal: 0 S - - a2,3 – O
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise /ROW Use Agreement)
License Agreement Approved (date) / / Certified Telecom Provider? Y N
❑ Plans provided and approved
(Erosion Control /safety fences must be installed prior to beginning work) p
Project Name/ Location: En . rw e- (Ak RU, /U. Oedna T30 Rd 3 / 0 o
General Contractor: e� e�'S Y IyI eCb I/
Permit issued to Company / Representative:
Address: 5- ` 0 W. i�E L04 L ew s tl G' , TY, 76
Telephone #: 97 ' Emergency Telephone #:
Utility Company Represented:
❑ TXU Electric ❑ TXU Gas
❑ CoServe Comm ❑ CoServe Elect.
Verizon ❑ SWBell ❑ Paragon/AT &T Broadband
❑ 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):
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➢ Was contact made with City and /or utility companies to locate existing utilities?
if NO, Reason: J/S 1.246 T4 (20NSTt6-6f Z a 1V 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 street/alley must be reported prior to closing to the following:
Police Department 0 972 304 - 3600
Fire Department C 972- 304 -3500
Street Department 0 972- 304 -3546
Engineering Department 0 972- 3043679
➢ Attach barricade plan / trench safety plan if a lane or street closure is required.
NOTE. Street closures are allowed from 9:00 a. m. until 3:00 D. 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.
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Signaturepf Utility Company Representative
Signature of Contractor ?ep#sentative
P = 0N'( W A/' 61 _
Printed Name
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Printed Narrig
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Date
Date
001n JU . - T�- - ve�n - TL — x K otek - - - - Z--
Signature of City Representative Printed Name Date
(Application with original signatures needs to be submitted to the Engineering Department before approval.)
Comments:
➢ NOTE: Notify City Inspector at 972- 304 -3679 prior to beginning work and prior to back,Tll 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.
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APPROVED BY VERIION ENGINEERING.
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CC TO 010202
SEE MATCH LINE
TWP:
\� 100 010202
SEC.:
SAL:
DATE: 05/14/02
S004
CALE: 1' =40'
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r te- # - 3566713 -° GENERAL NOTES
1 :) I. CONSTR)UCTIDN FOR THIS PROJECT WILL BE
7. PROTECTION FROM DAMAGE IN THE PERIOD BETWEEN
MAKING EXCAVATION AND FINAL PLACEMENT IS
001E OBSERVING ALL THE REOUIREO RULES
INCLUDED AS PART OF THE BACKFILL FOR TRENCHES
i AND REGULATIONS. PROPER SIGNS WILL BE
OR EXCAVATED CABLES.
PLACED ALONG R.O.W.AS REDUIRED BY STATE,
1 : COUNTY, AND CITY.
8. NO FOREIGN DEBRIS MAY BE A PART OF THE BACKFILL
2. ALL CONSTRUCTION WILL CONFORM TO
FOR TRENCHES OR EXCAVATED CABLES.
1 : GENERAL SYSTEM PRACTICES.
9. LOCATION OF UTILITIES IS THE RESPDNSIBLITY OF
I i 3, WHERE PERMITS FROM STATE.000NTY.
THE CONTRACTOR WHETHER OR NOT SUCH LOCATIONS
ARE SHOWN ON PRINTS.
70VNSMIP,CITYJiA1LR0AD OR GOVERNMENTAL
AGENCIES ARE REQUIRED. ALL WORK PER-
10. ANY DAMAGE TO UTILITIES IN THE COURSE OF
I i FORMED WILL COMPLY WITH THOSE AGENCIE'S
THE WORK SHALL BE REPAIRED BY TH CONTRACTOR
STANDARD SPECS AND SAFETY RULES.
AT HIS OWN EXPENSE.
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1 i 4. FACILITIES ARE PLOTTED USING AVAIL-
11. RIGHT-OF - MAY SHALL BE SMOOTHED WITH ALL VOIDS
.ABLE PLANS AND FIELD OBSERVATIONS.
I ACTUAL LOCATION AND DEPTH OF
FILLED BEHIND PLOWING OR EXCAVATION OPERATIONS
DAILY, UNDERGROUND OBJECTS ENCOUNTERED AND SROUGH
I THE
I UTILITIES TO BE VERIFIED BY PLACING
TO THE SURFACE DURING PLOWING OR EXCAVATING
I •
CONTRACTOR. TFE PLACING CONTRACTOR IS
SHALL BE PROMPTLY REMOVED FROM THE RIGHT-OF-WAY.
I ! TO NOTIFY STATE.000NTY•CITY AND ALL
I 1 OTHER UTILITY COMPANIES 48 MRS PRIOR
12. ALL CMwt£S OR DEVIATIONS MUST BE FIRST
i 70 CONSTRUCTION START.
APPROVED BY VERIION ENGINEERING.
5. ALL RIGHTS OF WAY SHALL BE RESTORED
13. PLACE ROUTE l MARKER SIGNS AS DIRECTED BY GTEPS.
I TO ORIGINAL OR BETTER CONDITION.
I 6. CABLE WILL BE PLACED AT MINIMUM DEPTH
1 ! OF 30' UNLESS OTHERWISE SPECIFIED.
01020
SPLICING9BONDING &
4G PIC 26G SL 24G PIC
25' 2697' 1381'
GROUNDING WILL BE DONE PER GTEPS
252 N. DENTON TAP
LOOP: 5498'
TP1 RESISTANCE: 348.2
250 OB LOSS: 2.58
3594160
ISD- 06 /07 /02I FILE:
VERIZON S11 AREA
STATE TX
DIVISION NEST
EXCH.:
REM. CD.: 000
W.C.: 4620 IWO
NO.: 3PO04KR I
CONTROL NUMBER:
TITLE:ENT CA 252 N.DENTON TAP
TAX DST.. •
TWP:
RNG.:
SEC.:
SAL:
DATE: 05/14/02
IREV. DATE:
CALE: 1' =40'
WP3
DRWN
MM
E
MM
APRVD
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