HomeMy WebLinkAboutLand Surveys - Land Survey Monument Record - 01/24/2005 COLORADO LAND SURVEY MONUMENT RECORD P
1
Department of Regulatory Agencies DEC 16 2004
Board of Registration for Professimud Engineers and Professional Land SurveyQ�s
1560 Broadway, Suite 1370, Denver, CO 80202 ✓�IJ�..-... •----��-
Phone (303) 894-7788 • Fax (303) 894-7790 a TDD (303) 894-290OX833COLO•ST• 6D•OF REG.
REPORT ONE MONUMENT ONLY ON THIS FORM — REPRODUCTION OF THIS FORM IS AUT40
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 ❑ BENCH MARK ❑ OTHER
2. DESCRIPTION OF MONUMENT FOUND:
FOUND 3" BRASS CAP MONUMENT PLS 17497
PER MONUMENT RECORD DATED APRIL 30, 1991
MONUMENT WAS REMOVED DUE TO CONSTRUCTION
3. DESCRIPTION OF MONUMENT ESTABLISHED BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
SET 2" ALUMINUM WITH 3" STEM MONUMENT
IN CONCRETE GUTTER PAN, FLUSH WITH SURFACE
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
UJ7�RFTF (gwspl,/4Ur Sr
PAN ti �t)
EAST 1/4 CORNER
FOUND "X" IN SECTION 1 1-7-69
LIGHT POLE BOLT SET "X" IN
CURB TOP
L.i Cb M CON
a h S/�r�q/( AND BRi
LLJ Ck
ILLJ d
N.T.S. Jo
U
BUILDING
T7N R69W
1/4 SET "X" IN
CURB TOP
5. CERTIFICATION
S11 S12 This is to certify 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.
2004 Name (Please Print): WALLACE C. MUSCOTT
LS 17497 Firm Name: CITY OF FORT COLLINS
Firm Address: PO BOX 580
Stamping on Cap FORT COLLINS, COLORADO 80522
a. Date of field Work to Estobliish. Restore or Rehobilitate Phone: 970-221-6605
Monument: DECEMBER 10, 2004
b. Date Monument was used as control: N/A 6. LOCATION DIAGRAM
(Do ncf-nil in) 1" = 1 Mile
E�
CCEPTE + + N
174
JAN 2 4 2�05 +
L '.F.ST. 80.OF REG. 7 �,
WR PE AND PIS
RECEIVED AT OMClE OF T1iE COUNTY CLERK
COUNTY • Location of Monument Signature/Date through Seal
7. SEC 11 T 7N R 69W , 6th p M.
COUNTY LARI M E R INDEX REF NUMBER 21 T
BY-
DATE: **8. SE M.
Renard W 1» !fled b7 lade: Reference Number
COUNTY INDEX REF NUMBER
Numerics$, then Alphebetics111, under To be used only for monuments located on county lines
eppro"te To-nobly. Rene, and Marldlsn. Rev.02/00