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Home My WebLink AboutSite Certifications - 07/28/2015City of w L Fort Collins COMMERCIAL, MULTI -FAMILY AND SUBDIVISION CERTIFICATION FORM & CHECKLIST (8aerall Partial Site Drainage) Foothills Mall Redevelopment (Project Name) July 28, 2015 (Date) Block 19 — Permit # B1413238 `' �iaews S�. (For Commercial or Multi family Please list any applicable building permit�numbers) Please fill in all applicable items in this Certification Form for Commercial, Multi -Family and Overall Single Family sites. A copy of the approved gradingplan must be�submitted with the as - built grading plan. (It is preferred to have the as -built elevonsatiwritten in red next to the approved elevations) Use "OK" for items checked or actual numbers for items 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 shoWing the following: A. Detention, Drainage Facilities, and Common Open Spaces 1. Pond Certification — This.will be Sdd�dressed at project completion, does not apply to Y Block 19 area (see attach me Afor area fhs ocument applies) Provide Topographic Records (grading certification with as —built spot elevations) and Volume NA Verification.Calculations. Show:both the proposed and as -built elevations on the same plan sheet. , and Spot Elevations (especially @ Pond Embankment and Pond Fall'to11Pan (if applicable) NA NG�eneral Poond'Grading including all Side -Slopes NA In ee ation 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 City of Fort'Collms. 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 IUA Cnn+ Cln..�tinne 6 Cover - In general compliance with design, all Backfill that was observed and tested by Ground Engineering was compliant. Reports sent to City for their review. 7 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. 8 Joints Type and construction - Storm is private, all installation was photographed and will be sent to the design engineer for their review. City, of Fort Collins 4. Concrete Pan Channels This will be addressed at project completion, does not apply to Block 19 area (see attachment A for area this document applies) NA Size NA Slope NA Cross Section 6. Street Cross -Pans 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 Grade NA Elevations NA Cross -Sectional Depth 3 Fort Colllns r NA Tie-in to Curb and Gutter 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 8. Sub -Drains Size —4" perforated pipe in 24" x 12" burrito wrAr aikyacross Type (Perforated/Solid) — Perforated, was observed by GrF, Reports sent to City for their review. An I Cover — Asphalt/Base —10.5" —11" of Geo-Textile Liners —Drainage Reports sent to City for their NA Clean -Outs NA Size 9. Pipe or other appurtenances — NA ng was compliant. Ground Engineering was compliant. 10. Common Open Spaces -This will be done at project completion, general compliance in Block 13 area (see attachment A for area this document applies) NA Overall grading contours of open spaces NA Spot elevations adjacent to private lots (property corners) B. Grading certification 1. Certification of Grade Elevations: — Site not within 100 Year flood plan 4 NA Minimum Opening Elevations NA Top of Foundation Elevations NA Comparison to 100-year Water Service Elevations NA Comparison to Freeboard Elevations and Base Floodplain Elevations— BFE 2. Verification of site grading: • Engineer to evaluate site grading compliance with This will be done at project completion, general,( attachment A for area this document anolies) l • As -built elevations are to be redlin showing the as -built spot elevatioi compliance can be verified and do This will be done at projectscoomp attachment A for area this docu C. Certification of Erosion Fort Collins: ing plan. c 19 area (see 8 grading plan sheet spot elevations so compliance in Block 19 area (see more than 6" bare spots and weeds under control) ffl(PI erosion material NA Cuf-'O_ff Walls or Channel Drop Structures Cross -Sections NA Sediment Basins NA Water quality ponds/Sand Filter/Bio Retention Construction and liners NA Permanent Netting Mats or Blankets NA Mulching and Seeding Post -Construction Site Cleanup: E City of Fort Collins Construction Debris Clean -Up (In particular debris affecting the drainage) — General area for Block 19 cleaned (see attachment A for area this document applies) Smoothing of Ruts in all Construction Areas General area for Block 19 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 E. Statement of Compliance: This certification is signed and stamped and by signing,this for iiii Engineers) attests that they have inspected the site and to the best of their knowledge the aks-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 inform-ati'ol certification and prevent the release of any and all Stor Permits and/or Certificates of Occupancy with n thisdE F. Signature and Stamp by a Colorado Registeled Engineer's contact information: could result in the rejection of this iwater Utility permit holds on Building Professional Engineer Kenneth W Curfman Flatirons, Inc. (Name) (Company Name) (Email address) (Telephone 655 Fourth Avenue, Longmont, CO, 80501 (Company Address) PE STAMP I smdm�m City of F6rt'Colift Attachment B Under Separate Cover— AS -BUILT EXHIBIT (2 Sheets) — BLOCK 19 WI TK HNa VN 25 INV MIT (S), 5 b X APHSdrT`p 16rypE O 1.1 , %IPNKT a. x API INET MANHOLE Not TYPE B w5m. MM D .. 5w2.W EGA INV IN (Nf'. 50o5.OL1 rm115r rWNE30 OCR W ASPHALT NV ar(5}551 INV OUT V OUT C / (I IETN TYPE MIV.w29T AS -BUILT EXHIBIT moss BLOCK 19 . NVC 90 x(WIPo � A PORTION OF FOOTHILLS REDEVELOPMENT, LOCATED IN THE SOUTHWEST QUARTER OF RA M3.3r SwEW tta9r SECTION 25, TOWNSHIP 7 NORTH, RANGIF, 69 WEST OF THE 6TH P.M., e❑ «A,,. 2 ,� Ea CITY OF FORT COLLINS, COUNTY OF LAJ2IMER, STATE OF COLORADO mam• SHEET 1 OF 2 s solzTs - Smo.HM 'AI]. n' fp(CE MAN 3 A'E O A]M.. • x � A.I#' �yE 013 R� lR SOI20S �W 5013.3Y \ R W 9 W Sm3.ae' S< R HANHOE PWA rYPE E SN12]' RIM E".. W122B' R Y N INV: EW7.T3' INV OUT (SE): S]I' 2V Em3W R 323' R 501280' WI255' R Wl3W' Sm2TO Off` T M. mlw w 5w11Y R H 4 mmA 1. ME HOR _ 1 ' INI4 a 1.25X INLET WNH¢E P02A TWE D YIV Wi IOU E .. WM31' AN IN (Pk 5041.16' MV IN (N), SDDe.e9' INV OUT (WO %X)%W' BUILDING 19 Nota 1. THIS EXHIBIT WAS PREPARED WITHOUT THE BENEFIT OF A CURRENT TIME COMMITMENT AND DOES NOT CONSTITUTE A TITLE SEARCH BY FLATIRONS, INC. TO DETERMINE TITLE OR EASEMENTS OF RECORD. THIS EXHIBIT DOES NOT PURPORT TO REFLECT ANY OF THE FOLLOWING WHICH MAY BE APPLICABLE TO THE SUBJECT REAL ESTATE: EASEMENTS. OTHER THAN POSSIBLE EASEMENTS THAT WERE VISIBLE AT THE THE OF MAKING THIS EXHIBIT; BUILDING SETBACK LINES; RESTRICTIVE COVENANTS; SIBDIVISOI RESTRICTIONS; ZONING OR OTHER LAND -USE REGULATIONS; AND ANY OTHER FACTS THAT AN ACCURATE AND CURRENT TITLE SEARCH MAY DISCLOSE. 2. ACCORDING TO COLORADO LAW, YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON ANY DEFECT IN THIS EXHIBIT WITHIN THREE YEARS AFTER YOU FIRST DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACTION BASED UPON MY DEFECT IN THIS EXHIBIT BE COMMENCED MORE THAN TEN YEARS FROM THE DATE OF THE CERTFICATION SHOWN HEREON. 3. THIS EXHIBIT WAS PREPARED FOR THE EXCLUSIVE USE OF HCBECK. LTD.. NAMED IN THE ooft STATEMENT HEREON. SAID STATEMENT DOES NOT EXTEND TO ANY UNNAMED PERSON WITHOUT AN EXPRESS STATEMENT BY THE SURVEYOR NAMING SAID PERSON. 4. MIS EXHIBIT IS VALID ONLY IF PRINT HAS ORION& SEAL AND SGNATURE 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 OR MUNICIPAL/PUSUC SERVICE FACILITY. FOR INFORMATION REGARDING THESE UTRITIES, PLEASE CONTACT THE APPROPRIATE AGENCIES. ALL UNDERGROUND UTILITIES MUST BE FIELD LOCATED BY THE APPROPRIATE AGENCY OR UTUTY COMPANY PRIOR TO ANY EXCAVATION, PURSUANT TO C.R.S. SEC. 9-1.5-103. 6. THE DISTANCE MEASUREMENTS SHOWN HEREON ME U.S. SURVEY FOOT. 7. BENCHMARK INFORMATION: ELEVATIONS BASED ON BENCHMARK D-322 FROM THE APPROVED CONSTRUCTOR PLANS, WITH A PUBUSHED ELEVATOR OF 5031.28 FEET (NGVD29 UNADJUSTED), BEING AN NGS BENCHMARK DISK STAMPED'D3P2 RESET 1971' LOCATED 5.4 'aM IWIM KM (3.35 MI) SOUTH ALONG U.S. HIGHWAY 2B7 FROM ITS JUNCTION WITH STATE HIGHWAY 14 IN FORT COLLINS, IN THE NORTH END OF THE EAST CONCRETE HEADWALL OF AN IIIIM� IIII■1 8-FOOT BY 24-FOOT BOX CULVERT, 6.1 METERS (20.0 FT) EAST OF THE CENTERLINE 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. DATES OF FIELDWORK: JULY 8 - 23. 2015. - 9. BOUNDARY DET61I91NATION IS NOT `A PART OF THIS EXHIBIT. THIS IS NOT A 'LAND . SURVEY PLAY OR'IMPROVEMENT SURVEY PLAY AND THIS EXHIBIT IS NOT INTENDED FOR PURPOSES OF TRANSFER OF TITLE OR SUBDIVISIONS OF LAND AND THAT IT IS NOT TO BE REUED UPON FOR THE ESTMUSHMENT OF A FENCE. BUILDING OR OTHER FUTURE IMPROVEMENT ONES. - 10. THE STE WAS AN ACTIVE CONSTRUCTION SITE AT THE THE OF FIELDWORK. It. THE HORIZONTµ LOCATIONS AND LINEWORK SHOW HEREON ARE FROM APPROVED CONSTRUCTION AND AUTOCAD FILES PROVIDED BY WENT AND GO NOT REPRESENT rI.ANS AS -MEASURED �OCATIONS UNLESS NOTED. - 12. THE PURPOSE OF THIS EXHIBIT IS M SHOW AS -MEASURED SPOT ELEVATIONS AND STORM KKR AS-BUI DATA IN THE AREA OF BLOCK 19 OVERLAID ONTO THE PROPOSED CIML SITE PLAN. GRAPHIC SCALE w T II 1 urce - 20 ¢ XHN B. GUYTON CDLORADO P.LS, i15406 CHAIR 8 CEO. FLATIRONS. INC. IN THE STATE OF COLORADO, HEROBY STATE ECK. LTD., THAT THIS AS —BUILT EXHIBIT WAS ARGE; THAT SAID EXHIBIT AND THE RELATIVE RE BEST OF MY KNOWLEDGE, INFORMATION AND Rm m zw ow$m a,b� yMe� y8�Y �w m ON 1 S w 71 y R��LL SHEET 1 OF 2 b2o b x N'14LT n. Win b10.0T 301}IT x INVLi 'xN T sRIS]C _'A1111' s017. s' �n n I� •3 bl] 17T JU n 501}q' bl JS �.. . n......., _. . M Kr ANHALT xMHALT AS -BUILT EXHIBIT - BLOCK 19 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 SHEET 2 OF 2 SIIIJM' naa n NCR 901 JOT IXIET W TPE C . M7N' R.IA NINVW NEFLEV: sRIJ. INV W Wj b I y91}M' INV Wi(E): b1I15' nNW fl PRE O O.YR sms.". 6 MH&T W I£TYAHIbEAIO AM ARV FLFN 'AISIMV IN (N): SM2.9T V WT (E): M1 Fww,7 IN (S): SOISJI' F. M9.1APHALT'X Wr x MHKT ANIALT OR .2s' W21.]Y 3' bIP.45' n 'nA19.b' ]. W so2oA P. x MHKT bon. WI&W n n b118o' K Notes 1. THIS IXH181T S PREPARED WITHOUT THE BENEFIT OP A CURRENT TITLE COMMITMENT AND 9215 NOT C MTE A TTIf SEARCH BY FLATIRM INC. TO DETERMINE TITLE OR EASEMENTS OF RECORD. THIS EXHIBIT DOES NOT WRPOtT TO REFLECT ANY OF THE FOLLOW NC MI H MAY BE APPLICABLE TO THE SUBJECT REAL ESTATE: EASEMENTS, OTHER THAN POSS3 EASEMENTS THAT WERE NSIBLE AT THE TIME OF MAKING THIS EXHIBIT; BUILDING STB CK UNES; RESTRICTIVE COVENANTS; SUBDIVISION RESTRICTIONS; ZONING OR 2. ACCORDING TOICOLORADO LAW, YOU MUST COMMENCE ANY 3. THIS EXHIBIT YEAS PREPARED FOR THE EXCLUSIVE USE OF HCBECK, LTD., NAMED IN THE ^ y STATEMENT H EON. SAID STATEMENT DOES NOT EXTEND TO ANY UNNAMED PERSON £ WTHWT AN E SS STATEMENT BY THE SURVEYOR NAMING SAID PERSON 4. THIS EXHIBIT 14` VALID ONLY IF PRINT HAS ORIGINAL SEAL AND SIGNATURE OF SURVEYOR. E. { 5. NO UTILITIES ARE SHOWN HEREON. NO RESEARCH HAS BEEN DONE CONCERNING THE G EXISTENCE. SIZZEE DEPTH, CONgTgM, CAPACITY OR LOCATION Oi ANY UTILITY OR ti MUNIgINCE Sl AUC SERMCE FACILItt. Fqt INFOtMATON REGARDING THESE UTILITIES, R PLEASE CONTAFT THE APPROPPoAIE AGENCIES. ALL UNDERGROUND UTILITIES MUST BE a U FIELD LOCATED BY THE APPROPRIATE AGENCY OR UTILITY COWPONY PRIO2 TO ANY (� EXCAVATION. PURSUANT TO C.R.S. SEC. 9-1.5-103. 6. TIE DISTANCE MEASUREMENTS SHOWN HEREON ARE U.S. SURVEY FOOT. 7. BENCHMARK INFORMATION: ELEVATIONS BASED ON BENCHMARK D-322 FROM THE APPROVED CONSTRUCTION PLANS, WITH A PUBLISHED ELEVATION OF 5031.26 FEET (NGVD29 UNADJUSTED). BEING AN NGE BENCHMARK DISK STAMPED 'D322 RESET 1971' LOCATED 5.4 KM (3.35 MI) SOUTH ALONG U.S. HIGHWAY 287 FROM ITS JUNCTION WITH STATE HIGHWAY 14 IN FORT COLLINS, IN THE NOMTH END OF THE EAST CONCRETE HEADWALL OF AN 8-FOOT BY 24-FOOT BOX CULVERT. 6.1 METERS (20.0 FT) EAST OF THE CENTERLINE OF THE NORTH BOUND LANES OF THE HIGHWAY, AND 1.7 METERS (5.6 FT) SOUTH OF TIE NORTH END OF TIE HEADWALL THE MARK IS ABOVE LEVEL WITH THE HIGHWAY. 8. DATES OF FIELDWORK: JULY 8 - 23. 2015. 9. BOUNDARY DETERMINATION IS NOT APART OF THIS EXHIBIT: THIS IS NOT -A= ANO B SURVEY PLAT OR 'IMPROVEMENT SURVEY PLAT' AND THIS EXHIBIT IS NOT INTENDED FOR V $ PURPOSES OF TRANSFER OF TITLE OR SUBDMSIONS OF LAND AND THAT IT IS NOT TO BE irso RELIED UPON FOR ME ESTABUSNMENT OF A FENCE. BUILDING OR OTHER FUTURE $,9 IMPROVEMENT LINES. 10. TIE SITE WAS AN ACTIVE CONSTRUCTION SIZE AT THE TIME OF FIELDWORK. E S z 11. TIE HORIZONTAL LOCATIONS AND UNEWORK SHOWN HEREON ARE FROM APPROVED CONSTRUCTIONiPLANS AND AUTOCAD FILES PROWDED BY WENT AND 00 NOT REPRESENT C AS-MEASURED,LOCATIONS UNLESS NOTED. AI 0I E $ 8 12. TIE PURPOSE OF THIS EXHIBIT IS TO SHOW AS -MEASURED SPOT ELEVATICNS AND STORM y 93 SEWER AS -BUILT DATA IN TIE AREA OF BLOCK 19 OVERLAID ONTO TIE PROPOSED CINL d K8 � SITE PLAN. �.$ a9R C Its W <fiq �a o i R6 III GRAPHIC SCALE HEREBY STATE 8ELIEE. I JK/KC JOHN B. CUttON ORADO PLS. )16406 CHAIRMAN & CEO, ATRONS. INC. SHEET 2 OF 2