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HomeMy WebLinkAboutFORT COLLINS NISSAN-KIA - PDP210017 - SUBMITTAL DOCUMENTS - ROUND 4 - SUPPORTING DOCUMENTATIONCOLORADO LAND SURVEY MONUMENT RECORDlu Department of Regulatory Agencies Board of Ucensure for Architects, Professional Engineers and Professional and ,Sy{ry yors 1560 Broadway, Suite 1350 Si � L 2014 Denver, CO 80202 Phone (303) 894-7800; Fax (303) 894-2310; EMAIL oes0doro.state.co.usP9j0D9T.W. Ur Ljr Report one monument only on this form — Reproduction of this form is authorized. All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and liaee which can be reproduced. 1. TYPE OF MONUMENT: ❑ SECTION CORNER ■ QUARTER CORNER ❑ SIXTEENTH CORNER ❑ OTHER 2. DESCRIPTION AND DATE OF MONUMENT FOUND: FOUND 3" BRASS CAP IN MONUMENT BOX 3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT: SET 30" #6 REBAR WITH 3-1/4" ALUMINUM CAP IN MONUMENT BOX STAMPED AS SHOWN BELOW REPLACED MONUMENT DUE TO REPAVING PROJECT 4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE: Not to scale T6N R69W S11 + S12 1/4 2014 s qn( Stamping on Cap FOUND NAIL & BRASS DISK LS 11989 ON POWER POLE SKYWAY DRIVE US HIGHWAY 287 US HIGHWAY 287 CHISLED X ON OP OF CURB OR H/C RAMP FOUND CHISLED X ON CONC. LIGHT BASE 5. CERTIFICATION This is to certify that I was in responsible charge of the surveying work described in this record and that to the L best of my knowledge the information presented herein is true and correct. Name (Please Print): MICHAEL J. DEDECKER Firm Name: CDS ENGINEERING CORP. Firm Address; 165 2ND ST. SW LOVELAND, CO 80537 Phone: 970-667-8010 a. Date of item work to Eetahsarr Restore or Rehabilitate Monument 08-26-20f4 b. Date Monument was used as a Control cmw:8-26-2014 OCT 31 2014 wW. o i. 60. OF LIC. PORAES a to be coed nuoseloally by Inds Reference Number. fhse alphaballodW by letter In the Inch retama number. thse ender appnvPrlate lERMShI . Rune. and IraMb" LOCATION DIA%Jr%M 1" = 1 Mile • - Location of Monument Signature/Date through Seal 7. SEC 12 T 6N R 69W , 6th P.M. COUNTY LARIMER INDEX REF NUMBE 2R 1—T ee8. SEC T R I M. COUNTY INDEX REF NUMBER » To be used only for moaum ote Ix ted on county saes �rF ^ra oepnnent of%gul,tory Agenda Rev.02/01/2011