HomeMy WebLinkAboutWPO201400094 Application 2015-09-18 MIIIIIMININI
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# o ( y- 1 q PROJECT TITLE LAS(1:- t A P Aa& 3
FULL NAME OF ENGINEER -3-v. --\--.7\ �-et-( FINAL ACTION DATE: `r-
Cain tyVi ew -
I imits of Disturbance Area(Ac)updated i
Status/StatusDate 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.
I Digital Closeout Instructions: Below each itemIniagt
indicate if lease tig Center is to scan the document;
P g�
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.
11 Aplica on(signature copy)
Scan ❑ Saved location
i ApproveE&S Plan(signed, or stamped "Approved'°with Engineer name)
uf
Scan ❑ Saved location::. `
❑ Approved Mitigation Plan (stamped"Approvedwith Engineer name)
n Scan ❑ Saved location <- :::.` ,
Approve SWM Plan (stamped "Approved"with Engineer na a) ''''q:''
Scan (-1 Saved location
❑ Army Corp Approval
n Scarff < ❑ Saved location
❑ VDOT Approval
n Scan Saved
,, location
❑ Calculations
❑ Scan"• ;" >., f 1 Saved location
�/ Bond mate Request
,:, ,,,„
Scan `,f 1 Saved location
Bond E timate Calculated
d
Scan n Saved location
1 i
❑ Other(Please explain)
❑ Scan 0 Saved location
❑ Other(Please explain)
❑ Scan n 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 curb mane art. inrLr 1 ,I *i- , ..1--...1a I.. ,.1,.--1_. —__I-_a