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
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oepnnent of%gul,tory Agenda Rev.02/01/2011