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WPO202000035 Checklist WPO VSMP 2023-01-05
WATER PROTECTION (CONSTRUCTION) FILE CLOSEOUT AT TIME OF COMPLETION IMAGING CENTER INSTRUCTIONS ND RELEASE) CHECKLIST The Inspector/Management Analyst is to complete this form ?``� release; place the completed form in the �` '°ems '''4�r'i'l of project completion and/or bond Laease;place hee completed have been WPO folder and Imaging to the Imagirng p placed �g forward to digitale closeout into WPO# 20 J�'.-DOO(7�j � ""g��Center staff will forward to Centralized Filing PROJECT TITLE�(,lt�/�Q�� -t O FULL NAME INSPECTOR: ,,,1 CountyView_ — —____ __ ______� _�_�__FINAL ACTION DATE: I —c 0 Status/Status updated Date u — -`--'�--- - - - -- Hardcopy File Folder Closeout:---__----— --_-__------—.�.-. `-�--"__`-"------------- All items listed should be placed in project folder,in revers a chronological order(latest on top). Please check each item included in this folder. To indicate that an item is next to the check box. The Inspector/Managementnot applic��able to this file,place an"N/A" provide clarity to the file,please indicate tha mon Analyst has the d provided. toa ine lde any item deemed necessary to Digital "Other"lines provided. g• Closeout Instructions. Below each or, if the document is already in digital format, an be savetem d to LaS�Fice if Imaging (path/name)of the documenthe. Plesrovide the digit 1location o document; in the space provided. ❑ Preconstruction Meeting Form ❑ Scan ❑ Saved location ❑ Grading Permit ❑ S• can ❑ Saved location G v' ❑ Inspection Requests ❑ Scan 0 Saved location ❑ Inspection Results(Include any inspection tickets,memos, hot ❑ S• can ❑ Saved location P os,etc.) Bond Reduction/gond Release Notices from Inspector Scanto Management Analyst 0 Saved location ❑ Conservation Checklist ❑ S• can ❑ Saved location ❑ As-built/Construction Plans ❑ Scan ❑ Saved location Other(Please explain) ❑ Scan Saved location ❑ Other Plans - At the Inspector's discretion, copies of unapproved lend clarity to the review at a later date. If such plans are included, unapproved and contain a at note later dat why it such included. p pud dpla sh be placed in the file if they ❑ Scan uded, ed' theirshould be clearly marked as ❑ Saved location NOTES; WPO project folders �-"----'----- will be accepted by the imaging ______ 1) Checklist is completed and included in folder; g Center when the follow{ `y 2) Documents are Acco-fastened(except plats/plans),and in chronological orde 8 items are complete: -� 3) Documents are sufficiently identified as to which need to be scanned or saved to La If the above items are not complete,Imaging �(latest documents on top); Engineerhfo are comp gig Center staff will circle the incomplete item and return folder to the County ty tion. Draft 12-5-2013 WPO FILE CLOSEOUT CHECKLIST WPO#- &aao 666 /�, 4t z.,,-( L C -C,vo i (fi r elAM-) BIR Inspections BIESC performed with approved plan. BISWM performed with As-Built plan. Required Docs(either in CV or paper copy) ✓ CGP VAR10 for this project: V,4P t0 P 1t\ AX-rce I CGP VAR10 that treats SWM for this project: JARo 72l o (/ Albemarle County Application General VPDES Permit Registration Statement ✓ Approved E&SC and SWM Plans Q0-8-2o) SWPPP -- 6-0-8-2o) Approved Bond Estimate Nutrient Credit Purchase Affidavit Recorded Documents:SWM Maintenance Agreement, Easements — CNowE F- N(A As-Built Construction Record Drawings/Certification Manufacturing and Installation records Pipe video Current survey General VPDES Permit N.O.T. Verify all fields;verify still active; reference other VAR10"comments" for swm f Inspections: 2 minimum with photos. Photos of all swm bmps 9_21-ZZ, "s7-413(4ze ` PEAtchf kR BIR release/reduction form 1? 1_f,4,,s6", ),-spfc�tov- )A,e.c,.0is Z PIIIrr►S, Erosion Control,or SWM Performance Bond Release: For releases: Update CV review status to"approved/complete". For reductions: Update CV review status to "denied/complete", and enter reasons for denial in the comments box. Iva FS t, Sw F9v Re 0 SAres�t�o Q. weo zo 13 - z. wpo Zook, - I , 444 20:913--02 (b'of►Lt R SAT►a cry ir- 12fyvtr ,a» `T° Zo20--3s pip 2_0,04— v Fsk,t a /o� 1 d 2013-©2 S4-7'�S F / �414 7v)rr_�F 1wl'� 2)9.20 3 S vtq PvwDm. � 6F CREt��� S� via 20 2-0^3s 1-LF ulgtg 0.81 as 1; AF L V►T eqk Ql,-c414St 1f. I w?a 2 l 3 -0 2 8q �S fs NQr Nf6pe /-�/z3 a A s a '7-tK 2O66-So P 4