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Item 4G - Attachment A - Encroachment AgreementLo INSTRUCTIONS FOR COMPLETING AN ENCROACHMENT AND JOINT USE AGREEMENT OF A PUBLIC EASEMENT All forms shall be signed in ink only by a property owner, legal partner or corporate officer. An authorized agent of the landowner must submit a Power of Attorney. PLEASE SUBMIT ALL OF THE FOLLOWING REQUIRED DOCUMENTS: 1. One copy of the Application with an original signature. 2. One copy of the Easement Joint Use Agreement with an original signature, signed and notarized. Do not submit copies of signatures and nota acknowledgments. 3. One copy of EXHIBIT NO. 1 that contains the precise metes and bounds description of the part of the easement to be used. This information is best provided by a registered land surveyor. Note that the City staff is not authorized to prepare this information. Do not place drawings or plats on this exhibit. 4. One copy of EXHIBIT NO. 2 which shows in graphic form the nature of the encroachment with dimensions. Please limit the area of usage of the easement to only that needed to accommodate your needs. Plans or drawings may be reduced, provided the final document is legible. City staff will make final decision on legibility. 5. The Public Works Department may require an additional EXHIBIT NO. 2A which may include a detailed drawing or cross sectional drawings of decks, signs, retaining walls, fences, driveways, piers, footings, etc. to fully evaluate the extent of the encroachment 6. One copy of EXHIBIT NO. 3 with original signatures, signed by all agencies listed regardless of whether they have utility equipment in the easement. This will need to be done before submitting to the City of Southlake. 7. After this agreement is filled out, you will need to return it to Public Works Department and pay: • The Public Easement Encroachment Permit Fee of $155. 8. This agreement will be circulated through the Public Works, Planning and Development and Building Inspection Departments within the City of Southlake. Please allow approximately seven to ten working days to complete the circulation process. 9. This agreement's final review and approval rests with the Director of Public Works. 10. After approval by the Director of Public Works, a copy of the signed agreement is forwarded to the Building Permit Department for retention in any pending permit files, a copy is retained in the Public Works Department and a copy is sent to the applicant for their records. Submit these documents to: City of Southlake Department of Public Works 1400 Main Street, Suite 320 Southlake, TX 76092 0:\00-New N Drive\ADMINISTRATION-PW DEPT\FormsWgreementsUoint Use and Encroachment Agreement - Public Easement-2022 Update.docx LJ Easement Joint Use Acireement THE STATE OF TEXAS § COUNTY OFF'; }�c ;t § Be it known, that the City of Southlake, herein after referred to as "City," and its franchised Utility Companies, herein referred to as "Utilities," do consent and agree to permit the following . herein after referred�o as "Applicant," to use an easement, situated on or abutting LOT I y - P- , BLOCK i . OF W e ) IN THE CITY OF SOUTHLAKE, TEXAS, as described on the attached Exhibit No. 1, depicted graphically on the attached EXHIBIT No. 2 and consented to by the public utility companies as listed on the ttached EXHIBIT No. 3, to be used for the purposes of / - +.. �s �,�� 1-•r� and being subject to the following conditions: That the Applicant, his successors or assigns shall maintain in good condition all of the easement area and the improvements situated thereon; and, that City and Utilities shall not become responsible for such maintenance at any time in the future. That the Applicant shall and does hereby agree to indemnify and hold harmless the City and the Utilities from any and all damages, loss or liability of any kind whatsoever by reason of injury to property or third person occasioned by its use of the easement or act of omission, neglect or wrong doing of Applicant, his officers, agents, employees, invitees or other persons, with regard to the improvements and maintenance of such improvements; and the Applicant shall, at his own cost and expense, defend and protect City and Utilities against any and all such claims and demands. That the Applicant shall arrange for all activities and improvements in the easements to be discontinued and / or removed within thirty (30) days of written notification, at the discretion of City, for: (1) Lack of maintenance to the easement; (2) Failure to provide access to the City or its designees; or (3) Compliance with a City Council directive that use of the easement by the Applicant be discontinued and the cost associated with the discontinuing of such activities, and the removal of such improvements, as well as property adjacent to the easement necessitated by such discontinuation of the easement, shall be borne by the Applicant. IV. That the Applicant, his successors or assigns shall not seek compensation from City or Utilities for loss of the value of the improvements made hereunder when such improvements are required to be removed by Applicant. 0:\00-New N Drive\ADMINISTRATION-PW DEPWorms\AgreementsVoint Use and Encroachment Agreement - Public Easement-2022 Update.docx V. This agreement shall be filed of record in the Deed Records of Tarrant County, Texas, and shall bind all future owners of this lot and shall for all purposes be considered a covenant running with the land. IN TESTIMONY WHEREOF, Applicant executes this Easement Agreement on this �✓���., ,20 ZS�. Printed Na e By; By: �#Vant's STgnature i NOTE: Complete the attached acknowledgements. City of Southlake Mayor day of Lf APPLICATION FOR ENCROACHMENT AND JOINT USE AGREEMENT OF A PUBLIC DRAINAGE AND / OR UTILITY EASEMENT �-/)0_5 - ( / ) q / ; Date of Submittal To the City of Southlake: The undersigned hereby makes application to allow an encroachment and joint use of a portion of the public drainye and / or utility easement situated on or abutting property located at 2 f F ,, v",", dr and described by metes and bounds in Exhibit No. 1 of the attached agreement.' The reason for the encroachment and use of the easement is as follows: w I I d r �, .� L2 eJ 6,j rz,. J-,, Printed Rime of Ppperty Owner! 671e� Property Owner ,2 13 Z�� s /-,j �- Address 2- City State Zip SS' l 7 — SrG q —2- —7 Telephone Fax Number Note: Only complete the appropriate acknowledgements THE STATE OF TEXAS § COUNTY OF TARRANT § Corporate Acknowledgment BEFORE ME, the undersigned authority, A Notary Public in and for the State of Texas, on this day personally appeared , known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that same was the act of said . a corporation, and that he executed same for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this the day of , 20 My Commission Expires: THE STATE OF TEXAS § COUNTY OF TARRANT § Notary Public in and for the State of Texas Individual Acknowledgment BEFORE ME the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared c r^.(cuv I Q awu' (f , known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed same for the purposes and consideration therein expressed. tPAMELA Pr�II IPS E GIVEN UNDER MD S L�k�y Cp is thd3 day of i u 20 �. My Commission Expires May 25, 2025 Notary Public in and forth fe of Texas My Commission Expires: 2S 2Uz� THE STATE OF TEXAS § COUNTY OF TARRANT § City of Southlake Acknowledgment BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared , known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that same was the act of said . a municipal corporation, and that he executed same for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OFFFICE this the day of , 20_ Notary Public in and for the State of Texas My Commission Expires: EXHIBIT NO. 1 Being that portion of that certain public utility easement / drainage easement situated in Addition/Survey to the City of Southlake, Tarrant County, Texas, and being more particularly described by metes and bounds as follows: EXHIBIT NO. 2 The following is a drawing depicting the area or portion of the easement and property described in Exhibit No. 1, that is subject to the encroachment and joint use agreement in this application showing the nature of the encroachment and use with dimensions. This drawing shall include a north arrow, legal description of the subject property and adjoining properties. Indicate on the drawing whether the encroachment is for a utility, drainage, private access, easement or right- of-way. BLOCK 20 GRAHAM & GREG CHAPMAN DOC. NO. D219030505, O.P.R.T.C.T. Or \OT O � / `l L -NIT 635.55 - TBM "A" ELEV.647.37' \ M F27''+- FL 646,23' 1 TW 646 56 FL 6459�' TP 647.00 TP 647.14 \ FL 646.02' TP 646.74 \ x \ I SP9k tj�yA3 \\T \ \ \ Ia 9 -350 0 TP 64 _TPE I FL E I TBM "B" FL ELEV.649.43' EROSION CONTROL: 1. LOCATE CONSTRUCTION EXIT AT THE SITE OF THE EXISTING DRIVEWAY. MIN. 15' X 20' WITH 3"-5" COARSE AGGREGATE AT MIN. 6" THICKNESS. 2. PLACE SILT FENCE NEAR THE NORTH PROPERTY LINE ALONG THE TOP OF BANK ALONG THE AREA DISTURBED FOR CONSTRUCTION. 3. PLACE SILT FENCE ALONG THE EAST TOE OF BANK ALONG THE AREA OF THE CONSTRUCTION LIMITS. 4. COMMON SOUTH PROPERTY LINE SHOULD BE A NATURAL RIDGE LINE. NO SILT FENCE IS REQUIRED. 5. MONITOR EFFECTIVENESS AND AND MAKE IMPROVEMENTS AS NECESSARY WITH BMPs. 6. ESTABLISH VEGETATION ALONG THE DRAINAGE CHANNEL BY MEANS OF EROSION CONTROL BLANKET, SOD OR HYDROMULCH. REPAIR/ REPLACE IF METHOD SELECTED BY CONTRACTOR WASHES OUT DUE TO HEAVY RAINS PRIOR TO ESTABLISHMENT. GRADING & DRAINAGE NOTES: 1. MAXIMUM GRADES ARE 4: 1. 2. MINIMUM OVERLAND FLOW GRADE IS 1%; DESIRABLL MINIMUM GRADE IS 1.5%. 3. MINIMUM CONCENTRATED FLOW OVER CONCRETE IS 0.5 i. m l V W aJ W N LL M M lo on L ER OE�P1 i-� 30' DRAINAGE & UTILITY EASEMENT 15' EA. SIDE1 VOL. 388-155, PG. 13, P.R.T.C.T. / / / �'z / / 22."-PINE - - 14 PINES/�� \ le TR EE-:- FOyPP•G� P.plP NM �u�o a r O m 00 LL m a i O MW m - b - - f") szz32, FL 6 tv� 6za p mm N �N � 3s ui F- L ~ 636H 6"6 " ii• n / / / / / c6 POND /// 22 HA / 6 b /' 6'� 12" OAK \ \ u) / / / b0 / / ✓ g9 / � o I / / I \ \ II / / / / -- / J'- / d \ L / / I - -�1 I BL CK 19-R BLOCK 1\ \ \ -90-T-- / g 3T \ 1P 6A3A5 FP-tP 6A3.20 PGyO �\� CP "A% PG 644 / 24' �1 DI \ (L T4091 e• F:Ln NOTES' 1. CONCRETE FOOTING SHALL BE 3, 000 PSI Ca 28 DA YS 2. PROVIDE "" EXPANSION ✓OINTS IN FOOTING AND WALL AT 35-FT SPACING J. WALL FILL MAY INCLUDE STONE FRAGMENTS WITH NO VOIDS 4. TYPE S MORTAR FOR SETTING STONES (1,500 PS/). 5 FOOTING SHALL BE CONSTRUCTED ON UNDISTURBED SOIL OR ROCK OR COMPACT FILL (S/BGRADE). 6. CONTRACTOR MAY SET FACE OF WALL VERTICAL FROM HEIGHTS <= 2' AS MEASURED FROM FINISHED GRADE AT BASE OF WALL. ® `y0 g�G vl 16 f • Rvc I VOL. 388 LAND 55,PG. HEIGHTS 13, \\\ \\ \ \ i \ RR.T.C.T. \\\ �\ � �PIER j \ \\ \\\6�� \�� 11 _----' \ oe3 1 • BUR o� CAITLIN & JORDAN HAMILL- \ DOC. NO. D22p132589, JJ qr� CO \ \ p I O.P.R.T. T. o O N p3 \O m LL I \ p0 �6q� p m \ 636 FL FG 638.90 T+o7e \ 6" ELM 6 / \ II I C 2• LrvuT mw I%PP 36 635 - L FLFG; 638.69 \ I GB HP639.16� \ I 6• Pvc \ \ 48I" ELM / m \ ~ O WATER / ® w P \ 301 hoc ERR Er° \ O 2e•J9nK -( LP\ \ PUMP \ \ 12„LITRE vM \ \ \ FINISHFLOORI 6" TREE \® 20" CLUS-TR QQ 639.69 N \ L�.6�2Q y m 16" QTRE\ QP� yAAB ya / I 20 BLOG LWE� I 10"\TREE �a/ TP .1p EA4�y \ sTGar / / (D BRICK GPRPGE \ \ 6-77 W 670 89') 50 639 6P l 1P I (O M o C2 v 1U N N O O O O :D iD LL J Q � V O tip f�D (�O (�O tip fop H J � LL O W M in ULL ULL U LL J LL I O M N I U U, F H m H- m I.- � p p I.- Z U LL m co,ri co a6,5 c LL H LL ~0D K 0U rno loos o c of rMi 0< av t LL ac0 H LL Ha ch M �Q OO (�LI t�0 fV H lUL H LL O LL J 5.47 J W N m 1 m� FOOTING DIMENSIONS h Fw C t O' TO <I' 18" 6" 5- 1 ' TO <2' 18" 6" 6" 2' TO <3' 18" 9" 6" 3' TO <4' 24" 9" 6" 4' TO <5' 30" 9" 9" INCREASE "C" ALONG ORA/NA GE CHANNEL, SEE CALLOUT NOTES RETAINING WALL (NOT TO SCALE) FULL MORTAR FACE STONE 2" SCH 40 PVC WEEPS ON 10' CENTERS W/ 3" FALL, APPROX 4' ABOVE FINISHED GRADE BLOCK 18-R LARRY L. & AVA D. FAUGHN DOC. NO. D183374907, O.P.R.T.C.T. FE M 1-01-1111 GRAPHIC SCALE 1"=20' 20 0 20 40 LEGEND BL BUILDING SETBACK D & UE DRAINAGE & UTILITY EASEMENT UE UTILITY EASEMENT DE DRAINAGE EASEMENT FH FIRE HYDRANT FF FINISHED FLOOR FP FINISHED PAD TP TOP PAVEMENT TC TOP CURB FG FINISHED GRADE (NATURAL GROUND) TW TOP WALL BW BOTTOM WALL AT NO BE BOTTOM OF WALL FOOTER BS BOTTOM OF STEP GB GRADEBREAK RL RIDGELINE FL FLOWLINE EC END OF CURB ESMT. EASEMENT EXP EXPOSED GDBM GRADEBEAM _--► FLOW DIRECTION RUNOFF EXIST. CONTOUR - - - - 619 - - PROPOSED CONTOUR 619 GRADE BREAK LINE - - - - PROPOSED GRADE TP 616.13 FLOW LINE PATH - - EXISTING GRADE TC 616.26 1!CAUROA!1! Contractor to Verify Exact Location & LOT 18R Depth of Exist Facilities Prior to any Construction Activities CAUTIONM CONTACT: wwwtexas8l l.org for UTILITY LOCATES PRIOR TO CONSTRUCTION 1-800-344-8377 GRADE FOR RUNOFF TO FLOW OVER TOP OF WALL 11' MIN COMPACTED CLAY MATERIAL BELOW 4'" TOP SO/L WALL FILL: 2,800 PSI CONCRETE AND MAY /NCLUDE 12"-18" RIPPED SANDSTONE IdN7H NO VOIDS 12" GRAVEL POCKET (h=1'-3) 24- TALL GRAVEL POCKET (h=4"-5) GRAVEL FILL - e" TO 1 2" CONTINUOUS FREE DRAINING WRAPPED IN FIL TER FABRIC. STUB PVC WEEP I'- INTO GRAVEL POCKET AND WRAP END OF PVC WITH FILTER FABRIC. MIN. 3" PERFORATED PIPE OUTFALL AT END OF WALL F00771VG (h-1 "-4) USE #4 BARS F00771VG (h-5'-10) USE A BARS 24" SPACING EA. HORIZ MIN 3 BARS CONTINUOUS MAX 12" CENTERS 213 EASTWOOD DRIVE SOUTHLAKE, TEXAS LOT 19R, BLOCK 1; WOODLAND HEIGHTS TARRANT COUNTY, TEXAS GRADING/DRAINAGE J. S. Ground Engineering, LLC 4108 Dundee Court (817) 320-5330 ph. Colleyville. Texas 76034 FIRM REGISTRATION NO. F-1276 SCALE: DGN. BY: JSG DATE: DECEMBER 21, 2024 DM. BY: WJW JSGE NO. DWG. NO. J. S. 6nenE En9ineerine. LLC ,;If. .„rASl.t % �YlE I...__.» ...................._ .."..r r JEFFR OUNDS y,y 8264$ / 1. 0 SHEET NO. ---- Cl 12-21-24 EXHIBIT NO. 2A The following is a detail and / or cross section drawing of the improvement(s) in the utility easement / drainage easement to be subject to the encroachment and joint use agreement in this application. EXHIBIT NO. 3 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and / or utility easement requested in this Application for encroachment and joint use of a public drainage and utility easement. Oncor Electric ©elive Company Bv: (Please Print) Title: (Please Print) Signature: Verizon Telephone Company By: (Please Print) Title: (Please Print) Signature: Charter Communications Inc. Bv: (Please Print) Title: (Please Print) Signature: Atmos Energy Bv: (Please Print) Title: (Please Print) Signature: AT&T / Southwestern Bell Telephone Company By: (Please Print) Title: (Please Print) Signature: Tri-County Electric Company Bv: (Please Print) Title: (Please Print) Signature: City of Southlake By: (Please Print) Title Signature: (Please Print) SERVICE PROVIDER CONTACTS FOR EASEMENTS IN SOUTHLAKE ❑ncor Electric Delivery Budd Rodgers, Distribution ROW Agent 109 Crestwood Lane Springtown, TX 76082 Office: (817) 443-3434 Mobile: (432) 234-9052 Email: buddy.rodgers@oncor.com AT&T/Southwestern Bell Eric Williams Manager Engineering Design 1460 Round Table Drive, Room 1000 Dallas, TX 75247 Office: (214) 745-2964 Fax: (214) 745-8230 Charter Communications INC Marla Collier, Charter Coordinator Office: (817) 298-3615 Email: Marla.Collier@charter.com Tri-County Electric Cooperative, Inc. Lauren Baccus, Development Coor. 4900 Keller -Hicks Road Fort Worth, TX 76244 Office: (817) 752-8226 Fax: (817) 431-9680 Verizon Telephone Joe Garza Superintendent — Network Engineer Office: (972) 252-0770 Cell: (325) 245-5102 Email: joe.garza@ftr.com Atmos Energy (Gas) Greg Zylka, Project Manager 2000 Reliance Pkwy Bedford, TX 76021 Office: (817) 685-1257 (ext. 1313) Fax: (817) 359-1338 Email: gregory.zylka@atmosenergy.com