HomeMy WebLinkAboutWPO201500013 Checklist - Project Closeout (Administrative) 2015-04-07 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.
wrott W1901 0(5Ocol3 PROJECT TITLE 6 st t+ Pez -
FULL NAME OF ENGINEER—3155�--,V\ 10ec.4 FINAL ACTION DATE: (I-7-6
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CountyView —
❑ Limits of Disturbance Area(Ac)updated
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 discretion jto'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
(pa /name) of document in the space provided.
Applicati n (signature copy)
Scan ❑ Saved location
ig/
Approved &S Plan (signed, or stamped "Approved"with Engineer name)
Scan ❑ Saved location:
10 pproved Mitigation Plan (stamped "Approved"With Engineer name)
❑ Scan ❑ Saved location
E21/
Approve WM Plan (stamped "Approved"with Erigineei•name)
1 Scan
❑ Saved location
Wir/Army Corp Approval
0' ❑ Scan ❑ Saved location
VDOT Approval
4 ❑ Scan ❑ Saved location
Calculations
❑ Scan" [1 Saved location
:and Estimate Request .
❑ Scan f 1 Saved location
fond Estimate Calculated
❑ Scan
11 Saved location
❑ Other(Please explain)
❑ Scan ❑ Saved location
❑ Other(Please explain)
❑ Scan ❑ 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 s„ch mane ara inr.I„.1A a