HomeMy WebLinkAboutWPO201500012 Checklist - Project Closeout (Administrative) 2015-06-16 I.
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. s.
WPO# R 6/ --1 PROJECT TITLE 5-i-l` 5 c ' Tea.-I tent 66 i t
FULL NAME OF ENGINEER �U5 <4\. -De_.,e.I FINAL ACTION DATE: ‘`-(‘-/S .
Coy, ntyView —
j 1 X mits of Disturbance Area(Ac) updated
i
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 riot 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",linesprovided.
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
(pat /name) of the document in the space provided.
Applicat' n (signature copy)
+/ Scan ❑ Saved location
['Approve &S Plan(signed, or stamped"Approved"with Engineer name)
riyf
Scan n Saved location:.
❑ Approved Mitigation Plan (stamped"Approved",with Engineer name)
n Scan n Saved location
dApprov0 SWM Plan (stamped "Approved"with Efigineet name)
VI Scan ❑ Saved location
❑ Army Corp Approval
n Scan :.': n Saved location
n VDOT Approval
❑// Scan n Saved location
WCalculat bns `
IV Scan`-.' ;. n Saved location
Bond Est' ate Request-. , ,
( Scan J I Saved location
Bond Es mate Calculated
ru Scan I I Saved location
n Other(Please explain)
n Scan ❑ Saved location
n Other(Please explain)
n Scan n Saved location
I ❑ At the Engineer's discretion, copies of unapproved plans/plats may be placed in the file if they lend clarity to the
review at a later date_ If such nlanc are int,Inriar1 thhP., eLn111,1 do ,.1o.,..11<, ...1,,,1 ,.a ..._-_ _ .