HomeMy WebLinkAboutLot Certifications - 11/25/2015 (6)utilities
electric- stomrwater. wastewater- water City
of
Fort Collins 70DWood5t
PO Box 500
Fort Cgilina, CO 80522
970.221.9700
970,221.fi619619 fax . 970.224.6003 TOO
uH1Wes@fcgov.com - kcgovoornlutflities
CERTIFICATION OF LOT GRADING
Ptusuant to City Code § 26-5" and City Land Use Code § 3.3.2 (e)
Date: �I—'Z+ `5
1dR FI .
Permit Application NO. 15_
CQva(w.sw "/2s/2 �
Address:
Lot: lock:
Subdivision: Q a(( t5ICV=cal
I,(Print) _y1.�1� �"w , a Colorado registered professional engineer, verify that the
above referenced property in the City of Fort Collins, Colorado, has been inspected by me or an appropriately
qualKed professional under my direct supervision, and verify that construction of all stormwater facilities and grading
is complete, and that the elevations and tlreinaa�gg�77e patterns shown on the attached drawing(s) which were developed
from a survey performed on (rate): i.1 `G— 15-, accurately and truly depict the elevations and drainage
patterns as they existed on the date of the survey. Based on this information, I certify that (check one):
o The elevations and drainage patterns of the loflsite are in substantial conformance with the City approved
drainage and grading plan for the property (Information attached). SEE NOTE.
,rg The elevations and drainage patterns of the lot/side 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 lotisite as constructed are functionally adequate and aqi
approved and will affect stormwater drainage on and the
with n. SEE NOTE.
Q�er Leo' By:
o A OZIMAI
%
`43375
(addrss of sigr
Foss/ONA1- ��� C I ►'l �'�;
(email address and
the specifically
a manner consistent
NOTE: A COMPLETE certification must be submitted at least two weeks prior to a request for a Certificate of Occupancy
for the lotisite, including but not limited to drawings of the lot/she showing the approved design and as -built surveyed
elevations of all structures, drainage and grading features (e.g. swales, retaining walls, lot comers), written
Information/explanation of discrepancies, and other information necessary to confirm the above certification to:
Fort Collins Utilities
700 Wood Street
Fort Collins, CO B0521
(970) 221-6700
Rev, 9/3/2014 Submit Two Weeks Prior To Requesting A Certification Of Occupancy For The Property
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