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HomeMy WebLinkAboutDINGS - BDR240016 - SUBMITTAL DOCUMENTS - ROUND 1 - Supporting Documentation (2) COLORADO LAND SURVEY MONUMENT RECORD Department of Regulatory Agencies Board of Registration for Professional Engineers and Professional Land Surveyors 1360 Broadway. Suite fJ70. Oenaer. CO 80207 Phone (X3)894-7788 Fox (JOJ)894-7790 Y/TDD (JOJ)894-7780 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 QUARTER CORNER O BENCH MARK ❑ OTHER 2. DESCRIPTION OF MONUMENT FOUND: GWl 144. err. u U C7 C,+;tl IN "40 ,U n E NT' Tara x . 3. DESCRIPTION OF MONUMENT ESTABLISHED BY YOU TO PERPETUATE THE LOCATION OF THIS POINT: 4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE: 4 T�AiL �u� FO4,vD �/7y OF 5 -r Voo 1 f1lN.D 5RAS5 T/4aw /0 rvA-r d0j-d-/AjS '444e fr �I�I��y 7A Ci/.t/ Po cal�R. +cd /¢L H /'JIlRraR Po raIZ 10�� L5 //989 36 -�'`J N L--S E3 � �7 All T,4 ay RvA ,5e7 e--77/O AJ /V.-FS, t�w e�fVA A_7E,<_ DEC 2 199i T efoA9a. VAoL:.-r- rV COLO. ST. BD. OF REG, s. CERTIFICATION FOR PE AND PLS This Is to certify that I was In responsible charge of the • surveying w­o`rw 'ZI so cribs d In this record and that to the best of my knowledge the Information presented herein is true and correct. ��^^77 Name (Please Print): Yo tjej 4Z rA at: D t,.A i C t'C R Firm Name: alis12FL-Rr I, L_,A St-fAofwviluLs, Firm Addr%ss: SL .�1I�i��O i 0S-98 Stamping on Cap Phone:.J�, 0 /• Date of Field Work u " Z� �� 6. LOCATION DIAGRAM 1".. 1 Mlle t)o not III in) /�- �`�gtNttuttttytt ,� ALD DEC 15 1997 EDERICK is , 1gJ9 T'/ or 97 •�4�0 FOR PE AND PLS .��''��,',°�,A T•0 j,; u/ _ �\��iii4l,fll11111tttt����• REcrrm AT orrice or THE COUNTY azm COVE • - Location of Monument Signature/Date through Seal 7. SEC _T to R_Le` , _1.e =P.M. COUNTY 4Ad /t?LA,INDEX REF NUMBER�� BY. DATE: •«8. SEC T R P.M. Record to be tiled by Index Referenee Number COUNTY INDEX REF NUMBER Numerleally, then Alpbabet.lcally, under •' To be used only for monuments located on county hoes appropriate Townahip• Ran&*. and Meridian _ Rer,O?/95 COLORADO LAND SURVEY MONUMENT RECORD end Department of Regulatory AgenciesnBoard of Licensure for Architects, Professional Engineers and Professional.f1 ?Surveyors1560 Broadway, Suite 1350Denver, CO 80202 �Ll 2 2 2014 Phone (303) 894-7800; Fax (303) 894-2310; EMAIL oes®dora.state.co.us;C01 V D 711 Report one monument only on this form — Reproduction of this form is authorized^/�(n• All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be"eeprdduced. 1. TYPE OF MONUMENT: ■ SECTION CORNER ❑ QUARTER CORNER ❑ SIXTEENTH CORNER ❑ OTHER 2. DESCRIPTION AND DATE OF MONUMENT FOUND: FOUND 3-1/2" COLORADO OF HIGHWAYS BRASS CAP 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: US HIGHWAY 287 CHISLED X ON LIGHT POLE BASE TRILBY TRILBY ROAD ROAD J g19Q TSB). tr CHISLED X ON FOUND CHISLED X ON TOP OF CURB TRANSFORMER BASE US HIGHWAY 287 Not to scale pttT MENT Q 5. CERTIFICATION o T6N R69W ti This is to certify that I was in responsible charge of the Q0 surveying woTdescribed in this record and that to the S best of my knowledge the information presented heroin is true and correct. S14�S13 y Nome (Please Print): MICHAEL J. DEDECKER u Finn Name: CDS ENGINEERING CORP. Firm Address: 165 2ND ST. SW 2014 LOVELAND, CO 80537 A�S 20616 Phone: 970-667-8010 Stamping on Cap 6. LOCATION DIAGRAM a. Date at new teak to remblbdt, Rtwtw ar Rehabilitate 1' = 1 Mile Menuttterth a8-26-201 d 0 , G b. Dab Notwntrd was rand as a Cathy ea,w;8-26-2014 f rF Surttepa. de eat fN In) + + N fJ 76 CCEP'TIE + + �� �Ijill�' LAP1� 0 31 2014 a ,e Location of Monument �J. ST. BD.OF LIC.FOR AES Signature/Date through Seal 7. SEC 13 T 6N R 69W , 6th P.M. ssc®v;m AT olrrtcs OF "M couNry cumx COUNTY-!:A-RIMER INDEX REF NUMBER 21—R COUMT s'8. SEC COUNTY INDEX REF NUMBER • To be taesd only far moat®enee located an. county Dnae Deis: woad to be MW aommfwly by lndee Rdsrg a lrtmt r,than elpeebetlo.W y btto In the bdo p^ra retaenoe =nxbw. teen seder nnrWrde ra. Bann. sod Ifeeidlea Depa tof"utawry/gendi Rev.02/01/2011