HomeMy WebLinkAboutLot Certifications - 08/11/2015Utilities
electric. stovnwater. wastewater- water
FortVCollins
700Wo°n
PO Box 580
Fort Collins,, CO 80522
970.221.6700
970.221.6619 fax . 970,224.6003 TOO
utilities@fcgov.com - fcgovcom/utilities
CERTIFICATION OF LOT GRADING
Pursuant to City Code § 26-544 and City Land Use Code § 3.3.2 (a)
Date: U�`1-20 G
1J 2 FI .
Permit Application No. 7314032S5 CO r.r.( %'j 8/,r lZo s
Address:[03$ SNevJbc5llj .fie.
Lot: - - Block:
Subdivision: 9%t3W`4 e"k Sw` i Zl Ny
(,(Print) LtkeLs "Ti71r�►J , 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
qualified professional under my direct supervision, and verify that construction of all stormwater facilities and grading
Is complete, and that the elevations and drainage patterns shown on the attached drawing(s) which were developed
O from a survey performed on (Date): —'VD — "� , 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):
The elevations and drainage patterns of the Iottste 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 IoUsite 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 IoUsite as constructed are functionally adequate and equivalent to the specifically
approved drainage plan, and will affect stormwater drainage on and/doff the lot he in a manner consistent
with the approved drainage plan. SEE NOTE. / 1
QP'�0 U�f�Y (sign lure},
Uo�DoQret Leo, s�0 ��3 i .;ttJIL1" N pcV�
110 43375 LoJFt(AND CU�rs3�
L (address of signing party)
.o O
9oFFs _ Aneweal S2�Rip11C. ►�
(email address ancheleple number)
NOTE: A COMPLETE certification must be submitted at least two weeks prior to a request for a Certificate of Occupancy
for the lotlsite, including but not limited to drawings of the lot/site showing the approved design and as -built surveyed
elevations of all structures, drainage and grading features (e.g. swales, retaining walls, lot corners), written
information/explanation of discrepancies, and other information necessary to confirm the above certification to:
Fort Collins Utilities
700 Wood Street
Fort Collins, CO 80521
(970) 221-6700
Rev. 9132014 Submit Two Weeks Prior To Requesting A Certification Of Occupancy For The Property
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