HomeMy WebLinkAboutFISCHER PROPERTIES - FDP230010 - SUBMITTAL DOCUMENTS - ROUND 1 - SUPPLEMENTAL INFORMATION (4)COLORADO LAND SURVEY MONUMENT RECORD 1+'. , DEC 18 2004
Department of Regulatory Agencies U11._7_ . ..-- .—
Board of Registration for Professional Engineers and Professional Land Surwyen`OLO. ST. BD, OF AE
1560 Broadway, Suite 1370, Denver, CO 80202
Phone (303) 894-7788 a Fax (303) 894-7790 a TDD (303) 894-290OX833 FORPEIII PL$
REPORT ONE MONUMENT ONLY ON THIS FORM — REPRODUCTION OF THIS FORM IS --AUTHORIZED
All items to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced
1. TYPE OF MONUMENT: ❑ SECTION CORNER IM QUARTER CORNER ❑ BENCH MARK ❑ OTHER
2. DESCRIPTION OF MONUMENT FOUND:
FOUND 3' ALUMINUM CAPPED MONUMENT IN MONUMENT BOX
PER MONUMENT RECORD BY PUS 27609 DATED MARCH 26, 2003
CAP IS ILLEGIBLE
3. DESCRIPTION OF MONUMENT ESTABLISHED BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
SET NEW TIES TO REPLACE THOSE LOST IN CONSTRUCTION
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
Ld
TRAFFIC POLE BASE I_ ry J N U y LCUUREP' IN
N.T.S.
Stamping on Cap
a. Date of field Work to Establish. Reston or RehobNlate
kbnumenl: SEPTEMBER 16, 2004
b., _Dato Monument rae_y"O.as.Control;N/A
(Do not fill In)
CC EPTE
JAN i
4 2005
r
t ULO. ST. BD. OF REG.
FOR PE AND PLS
RECEIVED AT OTFICE OF THE COUNTY CLERK
COUNTY
BY
DATE:
Record to be flied by India, Reference Number
Numrtloanr, than, AlahaboOcany, under
appropriate TaeuahlD• Ranee, and Marldian.
W. ELIZABETH
SET 'X' IN Cr n
URB TOP
5. CERTIFICATION
ASPHALT
SURFACE
EAST 1/4 CORNER
SECTION 15-7-69
FOUND 'X' IN
CURB TOP
This is to clq!!y that I was in responsible charge of the
surveying Work described in this record and that to the
best of my knowledge the information presented herein
is true and correct.
Name (Please Print): WALLACE C. MUSCOTT
Firm Name: CITY OF FORT COLLINS
Firm Address: PO BOX 580
FORT COLLINS, COLORADO 80522
Phone: 970-221-6605
6. LOCATION DIAGRAM
1" = 1 Mile latvmggamhl
P�OlsteHF0�4
+ + N 3
17497�
AI
ko
• — Location of Monument Signature/Date through Seal
7. SEC 15 T 7N t7 69W , 6th R M.
COUNTI LARIMER INDEX REF NUMBER 17P
et8. SEC T R R.M.
COUNTY INDEX REF NUMBER
ee To be wed only for monuments located an county anon
Rw.02/00