HomeMy WebLinkAboutWPO201300022 Checklist - Project Closeout (Administrative) 2013-03-27 WATER PROTECTION (REVIEW)
FILE CLOSEOUT AT TIME OF ENGINEERING APPROVAL/DENIAL
IMAGING CENTER INSTRUCTIONS
CHECKLIST
The Lead Engineer is to complete this form within 30 days of final action of WPO plan; place the completed
form in the WPO folder and forward to the Imaging Center for digital closeout into LaserFiche. Once items
have been placed in LaserFiche,Imaging Center staff will forward back to the Engineering Department.
WPO# Zola-z2 PROJECT TITLE kl.Y t1i 1-0,A s;s,lad,;vis;c,n - Pucks c R
FULL NAME OF ENGINEER '.i, 4%MiN ,mz:,1wn FINAL ACTION DATE: ci Iq I i'3
CountyView —
la Limits of Disturbance Area(Ac)updated 25• lir tl.
I] Status/Status Date updated
Hardcopy— File Folder Closeout: All items listed should be placed in project folder, in reverse
chronological order(latest on top).
Please check each item included in this folder. To indicate that an item is not applicable to this file,place an"N/A"
next to the check box. The Lead Reviewer/Engineer has the discretion to include any item deemed necessary to
provide clarity to the file, please indicate that item on the"Other"lines provided.
Digital Closeout Instructions: Below each item please indicate if Imaging Center is to scan the document;
or, if the document is already in digital format, can be saved to LaserFiche. Please provide the digital location
(path/name)of a document in the space provided.
] Applica on(signature copy)
S•. ❑ Saved location
�, t) 1 pprove• &S Plan(signed, or stamped"Approved"with Engineer name)
I! Scan ❑ Saved location
❑ Approved Mitigation Plan(stamped"Approved"with Engineer name)
❑ Sc,. El Saved location
0 pproved Plan(stamped"Approved"with Engineer name)
Scan ❑ Saved location
❑ Army Corp Approval
❑ Scan ❑ Saved location
❑ VDOT Approval
❑ S El
Saved location
�Calculati• s
11 Scan n Saved location
(Bond Es • ate Request
Scan n Saved location
Bond s mate Calculated
v?San n Saved location
Other Pl se explain) Na47ec{it/e__,, C*eC eto �(
Scan ❑ Saved location
Other(Please explain) t°iu.� '3 - 's,
❑ Scan Saved location ei�___
❑ At the Engineer's discretion, copies of unapproved lats may be placed in the file if they lend clarity to the
review at a later date if such nlans are included thPV ell nnlrl hr. .aP0 Mix, .,,.Arc.] ..................a ....a