HomeMy WebLinkAboutLand Surveys - Land Survey Monument Record - 08/25/2003 COLORADO LAND SURVEY MONUMENT RECORJD��VICV'
,
Department of Regulatory Agencies A ^tyhr�
Board of Registration for Professional Engineers and Professional Land ey
fS60 Broadway, Suite 1370, Denver, CO 80202
Phone (303) 894-7788 a Fax (303) 894-7790 a TDD (303) 894-29ou7m 'S
REPORT ONE MONUMENT ONLY ON THIS FORM - REPRODUCTION OF THIS FORM IS Ai�f
All items to be filled in by the Land Surveyor using PERMANENT BLACK LETTERfNG and lines whit a ro uced
1'.!' TYPE OF MONUMENT: ❑ SECTION CORNER (%::DQUARTER CORNER ❑ BENCH MARK ❑ OTHER��
2. DESCRIPTION OF 2MONUMENT FOUND:
J
rouN� �4 " 4,4UN. CA+- 2E3.►R f�2 HOAIJ/•t i fZElr�2b
�fl-E1� 117,77 45 ld182.3 140,JuA4e0Jr taAt- Sv3��cN rcy
at=s�zay�� ,3y OF AocK C2EE.4 J72704 .
3. DESCRIPTION OF MONUMENT ESTABLISHED BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
Sy: 0[R ;?EBA It Zl2 " 42.vM, Gg-P CAI MpAjoA,(ENr aog
A rb6�-771'1%1 OGGv' , �Y 2,u E2 �t(ONraiu EN% AND 5E: 7 E5
�4 5 5�a� r3E.t•or,<!.
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTIN AND/OR CO TRADICTORY EVIDENCE WHERE APPLICABLE:
C� "055 sv TF3G fop 90 5� Cur C2J55 XM TSG
�oc.K Cr26 �R=L
� Q s2=p
Gur czars XA/ 7�3G � CuT CRaSS sal TSG
N.T.S. A
�i
a
a
5. C CERTIFICATION /if,T. S.
IN
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.
Name (Please Print): Paul F. Klern erer
Firm Name: TST Consulting Engineers
Firm Address: 748 Whalers Woy, Bldg. D
Stomping on Cap Fort Collins, CO 80525
a. Date of field Work to Est* ishf estore or Rehabilitate Phone._C470)- 226-0557
Monument:_ a.2 03_
b. Dote Monument was used as Control: 6. LOCATION DIAGRAM
(Do not fill In) 1" W 1 Mile
R
C E P T E Nis°�F KLI:,yp9F• ,D
AUG 2 5 �Q� 0 193 Cr
COLO.ST.SO.OF REG.
FOR PE ANO PLS �b
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY • = Location of Monument Signature/Dote through Seal
7. SEC _..T �/� R 0-(-) � P.M.
COUNTY ?�;Pq INDEX REF NUMBER1f�a_
BY-
DATE: **8. SEC T R Q.M.
Record to be fled by Index Reference Number COUNTY INDEX REF NUMBER
tfumarically, then Alphabetically. under •• To be used only for monuments located on county lines
appropriate Township, Range, and Meridian. Rew.02/00