HomeMy WebLinkAboutCSU SOUTH CAMPUS RAW WATER MAIN EXTENSION - Filed P-PERMITS -City of ktColli� Planning, Development & Transportation
Engineering Department 281 North College Avenue P.O. Box 580 Fort Collins, CO 80522.0580
970.221.6605 970.221.6378 -fax
fcgov.com/engineering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way
(Minimum of 5 business days required for approval)
ENCROACHMENT SUBMITTAL INFO: All submittals MUST include the following with this application:
1.A sketch plan that shows the proposed location(s) of the encroachment(s) and locations of the property line(s),
sidewalk(s), and street(s). A licensed surveyor may be required to accurately locate property boundary(s).
2.Applicants for an encroachment permit that will occupy any parking spaces in the downtown area must notify the City
of Fort Collins Parking Services Department, at 215 N. Mason Street, (970) 221-6617.
Applicant Name: Zackary Kulbeck Phone: 970.556.1787
Company: Colorado State University Email: zackary.kulbeck@colo state .edu
Address: Colorado State University 6030 Campu s Delivery City: Fort Collins State:�Zip: 80523
Sub-Contractor: BlackE agle Energy Serv ices (Mark Bridge s)Phone: 806-670-4266
Address: 230 Comm erce Drive City: Bert houd State:�Zip: 80513
Location of Encroachment (Address): _C_e_n_t_e _r _A_v_e _. _@_S_p _r_in_g_C_re_e_k _________________ _
Type of Right-of-way Impacted: Iii Street DAIiey D Sidewalk D Other:--------
Purpose of Encroachment: Boring 8" HOPE for Raw Water Exp ansion to South Campu s
Dates of Encroachment: From: __ ,__---'--
From 01/27/2021 Until Revoked
To: _ __,_ _ __,_I __ or Until Revoked (permanent type items)
This permit is non-transferable, is personal to the Applicant and is non-assignable. Applicant agrees that any
transfer of ownership of the business holding the permit will terminate this permit and require a new application to be
filed by the new owner.
Applicant has read this permit and agrees to abide by the City of Fort Collins Municipal Codes, Standard Plans and
Specifications and to such special conditions, restrictions, and regulations as may be imposed by the Engineering Department.
DigitallySignedbyTimothyKemp T ·m th K m DN:C-US,E-tim.�colostate.edu,O.ColoradoStateUniYerSity, APPLICANT SIGNATURE: ____ ! _o_y __ e __ p ___ g..,_"·-�::_::•_;,�_.,',_�:;-_,.�_.��-,.TI_-_'"_'m_, ____ DATE:---------
Encroachment Permit Type: D Minor Iii Major
Permit Fees: Application Fee: $ 500.00 Inspection Fee: $ EX210032
Conditions: Utility will ne ed to be re gistered by the owner with 811 as requ ired.
Total Due: $ 5oo.OO
DATE: 2021-01-27CITY OF FORT COLLINS APPROVAL:� J4-fn.*
Revised: 10/15/2018 Permit Number:-----------21-9002
SPRING
CREEK
CENTRE
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E CENTERARTHUR'S DITCHDETENTION POND8"x8" TEE8" GV8" 22.5° BEND,W/TB8" 11.25° BEND,W/TB8" 45° BENDW/TB8" 45° BENDW/TB8" 45° BEND,W/TBAIR VACUUM RELIEFVALVE ASSEMBLYRE: IRRG. PLANS22.5°,BEND11.25° BEND,W/TBRISER ASSEMBLYRE: IRRG. PLANSIRRIGATION - RAW WATER A8"x8" TEE8" GV8" 22.5° BEND,W/TB8" 11.25° BEND,W/TB8" 45° BENDW/TB
AIR VACUUM RELIEF
VALVE ASSEMBLY
RE: IRRG. PLANS
8" 45° BEND,
W/TB
22.5°,BEND
11.25° BEND,
W/TB
8" 45° BENDW/TBRISER ASSEMBLYRE: IRRG. PLANS
MARTIN/MARTIN
C O N S U L T I N G E N G I N E E R S
12499 WEST COLFAX AVENUE, LAKEWOOD, COLORADO 80215
303.431.6100 MARTINMARTIN.COM
CSU SOUTH CAMPUS RAW
WATER MAIN EXTENSION
CONSTRUCTION DOCUMENTSC400IRRIGATION LINE PLAN & PROFILE811TGKEYMAPSCALE: 1"=600'C
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BAY RD.PHEMISTER RD.JFEHBLDG.NRRCDNRRCCNRRCANRRCBBAY RD.USDAUSFWHEAD-HOUSE01/15/2021