HomeMy WebLinkAboutSite Certifications - 02/27/201551
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COMMERCIAL, MULTI -FAMILY AND SUBDIVISION
CERTIFICATION FORM & CHECKLIST
(# Partial Site Drainage)
Foothills Mall Redevelopment
(Project Name)
February 24, 2015
(Date)
Block 13B — Permit # B1402470 C ► ue--
(For Commercial or Multi -family Please list any applicable buildin rpermit,n: tubers)''
Please fill in all applicable items in this Certification Form for Conn erc aMulti-Family and
Overall Single Family sites. A copy of the approved grading�plan must be�submitted with the as -
built grading plan. (It is preferred to have the as-built;elevations written in red next to the
approved elevations)
Use "OK" for items checked or actual numbers fo( verified/surveyed in the field.
Use "N/A" for items that are not applicable to the site that is being certified.
Please provide an As -Built Redlined or Mylar drawing sHowi g the following:
A. Detention, Drainage Facilities, and Common Opn S:aces
1. Pond Certification — V&�vvilltbe dressed aft project completion, does not apply to
Block 13 area (see attachme. ,for area t�hisd current applies)
Provide Topographic Recor
(grading certification with as —built spot elevations) and Volume
NA Verificatiocul s. S o both the proposed and as -built elevations on the same plan
sheet.
Providond Cross -Sections and Spot Elevations (especially @ Pond Embankment and Pond
(if applicable)
NA �Gen"bral Pond'Grading including all Side -Slopes
NA Inveff-ifleiv
NA Forebay Construction and Elevation
NA Spillway Weir (Location, Elevation, Height, Opening Width)
NA Placement and size of riprap or alternative permanent erosion control measures
NA Orifice Plate and/or Water Quality Outlet Structure Installation
NA Water Quality Capture Volume (Volume Required, Volume Provided and Water Surface
Elevation)
NA Berm and Embankment Compaction Level
NA Subsurface Media for Water Quality Ponds and Swales
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2. Swales -in general compliance for drainage of area, all verifications will be done at completion of
project
NA Location (are they within easement?)
NA Dimension and Cross -Section Verification
NA Longitudinal Slopes and Side -Slopes
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8 Joints Type and construction - Storm is private, all installation was photographed and will be sent
to the design engineer for their review.
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4. Concrete Pan Channels This will be addressed at project completion, does not apply to
Block 13 area (see attachment A for area this document applies)
NA Size
NA Slope
NA Cross Section
NA Thickness
NA Elevations
ock
7. Culverts— This will be addressed at project completion, does not apply to Block 13 area
(see attachment A for area this document applies)
NA Size
NA Type
NA Invert Elevations
3
8. Sub -Drains
1 Size —4" perforated pipe in 24" x 12" burrito wrap
2 Type (Perforated/Solid) — Perforated, was observed by Ground Engineering was compliant.
Reports sent to City for their review.
3 Cover — Asphalt/Base —10.5" —11" of asphalt and base above sub drain
we RxLfill
9.
10.
Bic
B.
NA Top of Foundation Elevations
NA Comparison to 100-year Water Service Elevations
NA Comparison to Freeboard Elevations and Base Floodplain Elevations — BFE
4
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2. Verification of site grading:
Engineer to evaluate site grading compliance with the approved grading plan.
This will be done at project completion, general compliance in Block 13 area (see
attachment A for area this document applies)
• As -built elevations are to be redlined onto the approved grading plan sheet
showing the as -built spot elevations next to the design spot elevations so
compliance can be verified and documented.
This will be done at project completion, general compliance injBlock3 ar
attachment A for area this document applies)
C. Certification of Erosion Control Measures:
1. Permanent BMP Measures: —
when project is turned over.
NA Permanent Vegetation (no more than 6" bare sp"otsand weeds under control)
NA Riprap or alternative permanent erosion ry(N&164:
NA Riprap Bedding
NA Cut -Off Walls or Channel Drop Structures Cross -Sections
NA Sediment Basins
NA Water quality ponds/Sand.Filter/Blo Retention Construction and liners
NA Permanegt Nett g Mats or Blankets
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D. PostlConstructioWSite Cleanup:
Construction Debris Clean -Up (In particular debris affecting the drainage) — General area for Block
13 cleaned (see attachment A for area this document applies)
Smoothing of Ruts in all Construction Areas
General area for Block 13 smooth (see attachment A for area this document applies)
Reseeding of all Areas Affected by Construction Activities
(Usually enforced by the City's Erosion Control Inspector but the engineer
Certifying the site needs to notify the contractor if areas are not seeded)
Bonded the landscape / Irrigation, will be done at a later date
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E. Statement of Compliance:
This certification is signed and stamped and by signing this form the Engineer(s) attests
that they have inspected the site and to the best of their knowledge the as -built conditions of
the drainage facilities are as described in the above form and in the As -Built plans enclosed.
Failure to properly disclose all known information could result in the rejection of this
certification and prevent the release of any and all Stormwater Utility permit holds on Building
Permits and/or Certificates of Occupancy within this development. Adatk
F. Signature and Stamp by a Colorado Registered Professional
Engineer's contact information:
Kenneth W. Curfman
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Attachment A
,OIty of
F, &Collins
Attachment B
Under Separate Cover —AS -BUILT EXHIBIT— BLOCK 13B
AS -BUILT EXHIBIT - BLOCK 13B
A PORTION OF FOOTHILLS REDEVELOPMENT, LOCATED IN THE SOUTHWEST QUARTER OF
SECTION 25, TOWNSHIP 7 NORTH, RANGE 69 WEST OF THE 6TH P.M.,
CITY OF FORT COLLINS, COUNTY OF LARIMER, STATE OF COLORADO
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1. THIS EXHIBIT WAS PREPARED'MTHOUT THE BENEFT OF A CURRENT TIME COMMITMENT AND
DOES NOT COISTITUTE A TITLE SEARCH BY FLATIRONS, INC. TO DETERMINE TIRE OR
EASEMENTS OF RECORD. THIS EXHIBIT DOES NOT PURPORT TO REFLECT ANY OF THE
FOLLOWING WHICH MAY BE APPUCABIE TO THE SUBJECT REAL ESTATE: EASEMENTS, OTHER
THAN POSSIBLE EASEMENTS THAT WERE MSBLE AT THE TIME OF MAKING THIS EXHIBIT;
BUILDING SETBACK LINES; RESTRICTIVE COVENANTS; SUBDIVTSON RESTRICTIONS; ZORING OR
OTHER LAND -USE REGULATONS. AND ANY OTHER FACTS THAT AN ACCURATE AND
CURRENT TITLE SEARCH MAY DISCLOSE.
2. ACCORDING TO COLORADO LAW. YOU MUST COMMENCE ANY LEGAL ACTON BASED UPON
ANY DEFECT N THIS EXHIBIT WITHIN THREE YEARS AFTER YOU FIRST DISCOVER SUCH
DEFECT. IN NO EVENT MAY ANY ACTION BASED UPON ANY DEFECT IN THIS EXHIBIT BE
COMMENCED NORE THAN TEN YEARS MM THE DAIS OF THE CERTIRCANA SHOWN
HEREON.
3. THIS EXHIBIT WAS PREPARED FM THE EXCLUSVE USE OF HOSECK, LTD, NAMED IN THE
STATEMENT HEREON. SAID STATEMENT DOES NOT EXTEND TO ANY UNNAMED PERSON
WITHOUT AN EXPRESS STATEMENT BY THE SURVEYOR NAMING SAID PERSON.
4. THIS EXHIBIT IS VALID ONLY IF PRINT HAS ORIGINAL SAL AND SIGNATURE OF SURVEYOR.
5. NO UTILITIES ARE SHOWN HEREON. NO RESEARCH HAS BEEN DONE CONCERNING THE
EXISTENCE, SIZE, DEPTH, CONDITION, CAPACITY OR LOCATION OF ANY UTILITY DIR
MUNICIPAL/PUBLIC SERVICE FACIUTY. FOR INFORMATION REGARDING THESE UTIUTIES,
PLEASE CONTACT THE APPROPRIATE AGENCIES. ALL UNDERGROUND UIIUIIES MUST BE
FIELD LOCATED BY THE APPROPRIATE AGENCY OR UTILITY COMPANY PRIM TO ANY
EXCAVATOR. PURSUANT TO C.R.S. SEC. 9-1.5-103.
6. THE DISTANCE MEASUREMENTS SHOWN HEREON ARE U.S. SURVEY FOOT.
). BENCHMARK INFORMATION: ELEVATIONS BASED ON BENCHMARK D-322 FROM THE
APPROVED CONSTRUCTION PLANS, WITH A PUBLISHED ELEVATION OF 5031.28 FEET (NGVD29
UNADJUSTED). BEING AN NOS BENCHMARK DISK STAMPED -D322 RESET 1971- LOCATED 5.4
KM (3.36 MI) SOUTH ALONG U.S. HIGHWAY 287 FROM ITS JUNCTON WITH STATE HIGHWAY
14 IN FORT COLLINS, IN THE NORTH END OF THE EAST CONCRETE HEADWALL OF AN
B-FOOT BY 24-FOOT BOX CULVERT, 6.1 METERS (20.0 FT) EAST OF THE CENTERUNE OF
THE NORTH BOUND LANES OF THE HIGHWAY, AND 1.7 METERS (5.6 FT) SOUTH OF THE
NORTH END OF THE HEADWALL. THE MARK IS ABOVE LEVEL WITH THE HIGHWAY.
8. DAMS OF FIELDWORK: FEBRUARY 10, 18 h 19. 2015.
9. BOUNDARY DETERMINATION IS NOT A PART OF THIS EXHIBIT. THIS IS NOT A 'LAND
SURVEY PLAT OR "IMPROVEMENT SURVEY PLAY AND THIS EXHIBIT IS NOT INTENDED FOR
PURPOSES OF TRANSFER OF TIRE OR SUBDIMSONS OF LAND AND THAT IT IS NOT TO BE
MUED UPON FOR THE ESTABLISHMENT OF A FENCE, BUILDING OR OTHER FUTURE
IMPROVEMENT UNES.
10. THE STE WAS AN ACTIVE CONSTRUCTION SITE AT THE TIME OF FIELDWORK.
11. THE HORIZONTAL LOCATIONS AND UNEWORK SHOWN HEREON ARE FROM APPROVED
CONSTRUCTION PLANS AND AUTOCAD FILES PROVIDED BY WENT AND DO NOT REPRESENT
AS -MEASURED LOCATIONS UNLESS NOTED.
12. THE PURPOSE OF THIS EXHIBIT IS TO SHOW AS -MEASURED SPOT ELEVATIONS AND STORM
BUYER AS -BUILT DATA IN THE AREA OF BUILDING 138 OVERLAID ONTO THE PROPOSED
CIVIL SITE PLAN.
GRAPHIC SCALE
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.x:nN 6. ULTI A IANu SONKTGR LICENSED IN THE STATE OF COLORADO. HEREBY STATE
FOR AND Lw BE' LF OF RATRONS, INC.. TO HCRECK, LTD., THAT THIS AS -BUILT EXHIBIT WAS
PREPARED BY M OR UNDER MY RESPONSIBLE CHARGE; THAT SAID EXHIBIT AND THE RELATIVE
ELEVATIONS SHO HEREON ARE ACCURATE TO THE BEST OF MY KNOWLEDGE, INFORMATIOR AND
BELIEF.
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