HomeMy WebLinkAboutSite Certifications - 11/12/2015COMMERCIAL, MULTI -FAMILY AND SUBDIVISION
CERTIFICATION FORM & CHECKLIST
( Partial Site Drainage)
Foothills Mall Redevelopment
(Project Name)
November 11, 2015
(Date)
:Z 01.
Block 8 — Permit # B140G75.27
(For Commercial or Multi -family Please list any applicable bull
Please fill in all applicable items in.this Certification Form fo
Overall Single Family sites. A copy of the approved grading{p
built grading plan. (It is preferred to have the as-builtevati
approved elevations)
Use "OK" for items checked or actual numbers foitems veril
Use "N/A" for items that are not applicable to the site at is
Please provide an As -Built Redlined or M a. ing show n
�j tivII-1a,-)ir
FCAty of
„Pt COltif1S
nmercial, Multi -Family and
must be submitted with the as-
�Written in red next to the
'ied/surveyed in the field.
being certified.
g the following:
A. Detention, Drainage Facilities, and Common Open Spaces
1. Pond Certification —This will be addressed a project completion, does not apply to
Block 8 area (see attachment AA this document applies)
Provide Topographic Records (grading certification with as —built spot elevations) and Volume
r
NA VerificationCalculations. Show1both the proposed and as -built elevations on the same plan
,
sheet. �.
and Spot Elevations (especially @ Pond Embankment and Pond
Nd Positive Fall td Pan (if applicable)
NA General Pon Grading including all Side -Slopes
NA Invert Elevation
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
Fort Collins
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
uA
82=5007.88 (E & S) A.B. 81=5005.97 (E), 5007.42 (W) A.B. 80=S00S.48 A.B.
96=4999.0S (N), S001.86 (S), 5001.00 (E) A.B. 96A=5002.30 A.B.
95A=5006.07 (SE) A.B. 9S=4998.65 (N & S), S005.54 (NW) A.B. 94=4997.83 (N & S) A.B.
93=4997.22 (N & S), 5003.42 (W) A.B. 93A=5003.72 (E) A.B.
92=4996.68 (N & S), 5000.22 (E) A.B. 92B=S002.59 (NE) A.B. 92A=5001.98 (SW & W) A.B.
704=5011.97 (NE), 5013.29 (SW), 5012.17 (NW) A.B. 703=5011.39 (NE & SW) A.B.
701A=5010.28 (NE & SW) A.B. 701=5004.75 (N & S), 5008.62 (SW) A.B.
Installation and Backfill —Storm is private, all Backfill that was observed and tested by Ground
Engineering was compliant. Reports sent to City for their review.
Cover - In general compliance with design, all Backfill that was observed and tested by Ground
Fort Collins
Engineering was compliant. Reports sent to City for their review.
Encasement and Clearance from other nearby utility lines - Storm is private, all installation was
photographed and will be sent to the design engineer for their review.
Joints Type and construction - Storm is private, all installation was photographed and will be sent
to the design engineer for their review.
Fart Collins
4. Concrete Pan Channels This will be addressed at project completion, does not apply to
Block 8 area (see attachment A for area this document applies)
NA Size
NA Slope
NA Cross Section
NA Thickness
NA Elevations
S. Inlets
1 Size and Type — PER CONSTRUCTION DOCS
2 Size of Opening (or name of Standard Detail
3 Grate Elevation — 17
506=5018.43 505=5017.92 504=5017.38 502=5012.8 501=,5010.24 81=5012.02
96A=5008.48 95A=5011.42 93A=5009.52 928=5006.79 92A=5006.31 703=5015.49
703A=5015.73
4 Invert Elevation —
See section 3, Pipes.
5 Box Size - NA
6. Street Cross -Pans This will be adIdssea�"�t project completion, does not apply to Block
8 area (see attachment A for area this document applies)
NA Size
NA Type
Depth
NA Tie,irtto Curb and Gutter
7. Culverts —This will be addressed at project completion, does not apply to Block 8 area
(see attachment A for area this document applies)
NA Size
NA Type
NA Invert Elevations
4
S
8. Sub -Drains
9.
10.
Bic
B.
F6r,of
t Collins
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
NA Top of Foundation Elevations
NA Comparison to 100-year Water Service Elevations
NA Comparison to Freeboard Elevations and Base Floodplain Elevations — BFE
5
of
Fort Collins
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 8 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 in'Bloarea (see
attachment A for area this document applies)
C. Certification of Erosion Control Measures:
0
1. Permanent BMP Measures: — Not in
when project is turned over.
NA Permanent Vegetation (no more than 6" bare spots nd weeds under control)
AN
NA Riprap or alternative permanent erosion material
NA Riprap Bedding
NA Cut -Off Walls or Channel Drop Structures Cross -Sections
NA Sediment Basins
NA Water quality ponds/Sand Fllter/Bilo Retention Construction and liners
NA Permanent�Nettft Mats or Blankets
Cleanup:
Debris Clean -Up (In particular debris affecting the drainage) —General area for Block
ae attachment A for area this document applies)
Smoothing of Ruts in all Construction Areas
General area for Block 8 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
arof, ollins
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.
F. Signature and Stamp by a Colorado Registered Professional
Engineer's contact information:
Kenneth W. Curfman
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3 AS -BUILT EXHIBIT -
W BLOCK 8
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
Notes
I. THIS EXHIBIT WAS PREPARED WITHWT THE BENEFIT OF A CURRENT TIRE COMMITMENT AND
GOES NOT CONSMUTE A TTE SEARCH BY PATRONS, INC. TO DETERMINE TIRE OR
EASEMENTS OF RECORD. THIS EXHIBIT DOES NOT PURPORT TO REFLECT ANY OF ME
FOLLOWING WHICH MAY BE APPUCABLE TO THE SUBJECT RE& ESTATE: EASEMENTS, OTHER
MAN POSSIBLE EASEMENTS MAT WERE VISIBLE AT ME THE OF MAKING THIS EXHIBIT:
WILDING SETBACK UNES; RES RICTVE COVENANTS SUBDIVISION RESTRICTIONS: ZONING M
OTHER LAND -USE REWLATONS: AND ANY OTHER FACTS THAT AN ACCURATE AND
CURRENT ➢RE SEARCH MAY DISCLOSE.
2. ACCORDING TO COLORADO LAW, YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON
ANY DEFECT IN THIS EXHIBIT WITHIN THREE TEARS AFTER YOU FIRST DISCOVER SUCH
DEFECT. IN NO EVENT MAY ANY ACTION BASED UPON ANY DEFECT IN THIS EXHIBIT BE
COMMENCED MORE THAN TEN YEARS FROM ME DATE OF ME CERBFICATION SHOWN
HEREON.
3. THIS EXHIBIT WAS PREPARED FOR ME EXCLUSIVE USE OF HCBECK, LTD., NAMED IN ME
STATEMENT HEREON. SAID STATEMENT DOES NOT EXTEND TO ANY UNNAMED PERSON
WITHOUT AN EXPRESS STATEMENT BY ME SURVEYOR NAMING SAID PERSON.
4. THIS EXHIBIT IS VALID ONLY IF PRINT HAS ORIGINAL SEAL AND SIGNATURE OF SURVEYOR,
5. NO UTLITIES OTHER MAN STORM SEVER ARE SHOWN HEREON. NO RESEARCH HAS BEEN
DONE CONCERNING THE EXISTENCE. SZE, DEPTH, CONDITION, CAPACITY OR LOCATON OF
MY UTILITY OR MUNICIPAL/PUBLIC SERVICE FACILITY. FOR INFORMATION REGARDING MESS
UTILITIES. PILEASE CONTACT ME APPROPRIATE AGENCIES. ALL UNDERGROUND UTILITIES
MUST BE FIELD LOCATED BY ME APPROPRIATE AGENCY OR UTILITY COMPANY PRIOR TO
ANY EXCAVAT IN, PURSUANT TO C.R.S SEC 9-1.5-103.
6_ ME DISTANCE MEASUREMENTS SHOWN HEREON ARE U.S. SURVEY FOOT.
]. BENCHMARK INFORMATION: ELEVATIONS BASED ON BENCHMARK D-322 FROM ME
APPROVED CONSTRUCTON PLANS, WITH A PUBUSIE) ELEVATM OF 5031.M FEET (NGVD29
UNADJUSTED). BEING AN NGS BENCHMARK DISK STAMPED 11322 RESET 1921- LOCATED 5.4
KN (3.35 MI) SOUTH ALONG U.S. HIGHWAY 287 FROM ITS JUNCTION WITH STATE HIGHWAY
14 IN FORT COLLINS, IN ME NORM END OF ME EAST CONCRETE HEADWALL OF AN
8-FOOT BY 24-FOOT BOX CULVERT, 6.1 METERS (20.0 FT) EAST OF ME CENTERUNE OF
ME NORM BOUND LANES OF ME HIGHWAY, AND LJ METERS (5.6 FT) SOUTH OF ME
NORM END OF ME HEADWALL. ME MARK IS ABOVE LEVEL WITH ME HIGHWAY.
B. DALES CIE FIELDWORK: MPTEMBER - OCTOBER, 2DI5.
9. BOUNDARY DETERMINATION IS NOT A PART OF THIS EXHIBIT, THIS IS NOT A 'LAND
SURVEY PLAT" OR IMPROVEMENT SURVEY PLAT' AND THIS EXHIBIT IS NOT INTENDED FOR
PURPOSES OF TRANSFER OF TIRE OR SUBDIVISIONS OF LAND AND THAT IT IS NOT TO BE
RUED UPON FOR THE ESTABUSHMENT OF A FENCE, WILDING OR OTHER FUTURE
IMPROVEMENT LINES.
10. ME SITE WAS AN ACTIVE CONSTRUCTION STE AT ME TIME OF FLEWWORK.
11. ME HORIZONTAL LOCATIONS AND UNEWORK SHOWN HEREON ARE FROM APPROVED
CONSTRUCTION PLANS AND AUTOCAD FILES PROVIDED BY CLIENT AND 00 NOT REPRESENT
AS -MEASURED LOCATIONS UNLESS NOTED.
12. ME PURPOSE OF THIS EXHIBIT IS TO SNOW AS -MEASURED SPOT ELEVATIONS AND STORM
SEWER AS -SUET DATA IN ME AREA OF BLOCK 8 OWRIAID ONTO ME PROPOSED CIVIL
SITE PLAN.
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I, JOIN B. GUYTOM, A LAND SURVEYOR UCENSED IN ME STATE OF COLORADOBU, HEREBY STgIE DRAWN BY:
FOR AND ON BEHALF OF PATRONS, INC., TO HCBECK, LTD., THAT THIS AS-ILT EXHIBIT WAS
PREPARED BY ME OR UNDER MY RESPONSIBLE CHARGE; THAT SAID EXHIBIT AND ME RELATIVE J. KUNTZ/B. OELKI
ELEVATIONS SHOWN HEREON ARE ACCURATE TO ME BEST OF MY KNOWLEDGE, INFORMATION AND CHECKED BY:
BWEF, JK/KC
JOHN B. GUYTON COLORADO P.L.S. 016406
CHAIRMAN k CEO, PATRONS, INC. $HEFT 1 I]F 2
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