HomeMy WebLinkAboutWPO201500086 Checklist - Project Closeout (Administrative) 2015-11-24 4
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# R 0 k5-g- PROJECT TITLE 01 u elm p 10. 6 4- Al A6I-A i€ t
FULL NAME OF ENGINEER MY--}A.e.1/4.6-1 W-er} AJ FINAL ACTION DATE:
CountyView —
❑ Lim- of Disturbance Area(Ac) updated
i
I__— tatus/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 discretiontoinclude any item deemed necessary to
provide clarity to the file, please indicate that item on the"Other",;lines'pro`vided.
Digital Closeout Instructions: Below each item please indicate if Imaging";,P g�,:g 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/ ame) of the document in the space provided.
Applicat' n(signature copy)
Scan n Saved location
❑ A• pproved E&S Plan(signed, or stamped "Approved"with Engineer name)
n S• can _.,
❑ Saved location . •.
❑ A• pproved Mitigation Plan(stamped"Approved'with Enginer e name)
n S• can n Saved location •
.. is;' ';, •: ,.
❑ Approved SWM Plan (stamped "Approved"with Engineer.name) :•,,i'"
❑ Scan ❑ Saved location
❑ A• rmy Corp Approval
❑ Scan ❑ Saved location
n V• DOT Approval
n Scan ❑ Saved location
❑ Calculations
❑ Scan n Saved lo cation
❑ Bond Estimate Request "; •,
❑ S• can '' n Saved location
n Bond Estimate Calculated
❑ S• can n Saved location
n O• ther(Please explain)
n S• can ❑ Saved location
❑ Other(Please explain)
❑ Scan ❑ Saved location •
❑ 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 plans are included. they shnlct he hP .v mat-L.4 as ,.n• nn.-.-.<7o,1 .,.,a ..,,...k..:-. .. .