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CERTIFICATION OF LOT GRADING
Pursuant to City Code § 26-544 and
City Land Use Code § 3.2.2 (e)
NOV 2 92010
Date: -;2 7 — ;Z n / O
Permit Application No. O�
Address: 57W4 Vert I WA Ph se, (-QNe, , Pr— eo Ct1NS
Lot +I Block:
Subdlvlsion:* MCA 11C €'LD + PI) RraAq The, (o"'N )=t It of F�5'tL_ La_Y-� �qNc h
I,(Print)_%1 a Colorado registered professional engineer,
verify that the above referenced property In the City of Fort Collins, Colorado, has been Inspected by me
or someone under my direct supervision, and verify construction of all storrnwater facillttes and grading Is
complete, and the elevations and drainage patterns shown on the attached drawing(s) which were
developed from a survey performed on (Date) I D/ Z/ 17,ol 17 , accurately and truly depict the
elevations and drainage patterns as they existed on the date of the surrey. Based on this Information, I
certify that (check one):
o The elevations and drainage patterns of the lot/slte are In substantial conformance with the City
approved drainage and grading plan for the property (Information attached). SEE NOTE.
The elevations and drainage patterns of the lotfalto as measured are In general conformance with
the City approved drainage plan with exceptions (Information attached). In my professional
judgment the elevations and grading of the lot as constructed is functionally adequate and will
allow for stonnwater drainage consistent with the approved drainage plan.
SEE NOTE. �O REG
0 0 0 SP9`s�t0
:t� (sign re, stamp)
v• 38538 : G
• -700_ Gtl%TOM�taT/nl!
(address of signing party)
NOTE: ...;'VIVA►. 7-•
A COMPLETE "Al icatlon must it rtaludIng but not Wnhed to drawinse of the lot/ehe showing Ito approved design and
as bulit surveyed elevations *fall etnratures, dralnege and grading features {e.g, swalas, retaining walls, lot comers), ieditefl .
Inromtetlonlexptanatton of discrepancies, atc. to:
For/ Collins UtIliOss (971) 221$700
TM Wood Streat
Fort Collins, CO S0521
At Least Two Waske Prior To Requesting A Certificate Of Occupancy For The. Property
Rev. f/f/06
GRADE CERTIFICATION
PLANK PLD & PD BEING THE
LOT 41 BLOCK -- SUBDIVISION 6TH FILING OF FOSSIL LAKE
COUNTY OF LARIMER STATE OF COLORADO
ADDRESS 5621 EVENING PRIMROSE LANE, FORT COLLINS
FL CONCRETE SWALE
S87.48'14"E 122.70'
13.84
y I W1 fi.3 X TOF=17.50 e" •; �� . I : • : .
• • e' I tss a < t;
I EED I 17.3=W GFF
16.8=G
14.2X 15.0 `O
Ld I _lux I 3
i t0 I FF=21.7504
I p
2 d'
16.1X 3 C, O • • ` • e 0
iN I 3 .� a
Z I ^ n I �_ 0
1s.1x 16.7
N87.48'14"W 122.90'
LOT 41 00.0—W = ELEVATION 0 TOP OF WINDOW WELL
7,511 SQ.FT. 00.0—G = GROUND ELEVATION 0 WINDOW WELL
I, MICHAEL CHAD DILKA, A DULY LICENSED LAND SURVEYOR IN THE STATE OF COLORADO DO HEREBY STATE
THAT THE ELEVATIONS SHOWN HEREON WERE DETERMINED FROM THE RESULTS OF AN ACTUAL FIELD
SURVEY MADE BY ME OR UNDER MY SUPERVISION ON 10/21/2010 AND THE INFORMATION SHOWN HEREON IS
TRUE AND CORRECT TO THE JN0M3Z3MX BELIEF AND KNOWLEDGE
MICHAEL CHAD I
LS 38106
DATE
KI ORS, INC.
650 E. Gard dsor, Colorado 80550
phone: (970) 686-5011 1 fax: (970) 686-5821
www.ldngsurveyors.com
DRAWN BY.
SIP
SCALE:
1 "=20'
DATE:
10-21-2010
JOB N0.
2009261
CLIENT:
TCB
E
9