HomeMy WebLinkAboutWPO201700071 Checklist - Project Closeout (Administrative) WPO VSMP 2018-06-27 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# ,)-D1-7 0 00-1 PROJECT TITLE () (t Il lay
�% �j 1 0 G�G
FULL NAME OF ENGINEER %( �t\-( C D) FINAL ACTION DATE: Cild7//E
•
CountyView —
C] Limits of Disturbance Area(Ac)updated 13(p .0
Eg 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 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.
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
(path/name)of the document in the space provided.
Application(signature copy)
E Scan ❑ Saved location
Approved E&S Plan and/or SWM Plan and/or SWPPP(stamped"Approved")
Scan ❑ Saved location
;Fr Approved Mitigation Plan(stamped "Approved")
Scan ❑ Saved location
OSWM Maintenance Agreement(executed and recorded) (ot-YA
❑ Scan Javed location 0( S— P(7 — Of g'tt — Doi cf
,-SWM Deed/Easement Plat(recorded)
❑ Scan Saved location S v ! ZD i 0 00
Nutrient Credit Agreement (recorded)
❑ Scan ❑ Saved location
,Calculations stamped "Approved"
Scan ❑ Saved location
Bond Estimate a
❑ Scan ❑ Saved location l�i 4/1 ✓ Ili
j _COE/ACSA/VDOT Approval Letter(s)
❑ Scan ❑ Saved location
Otherpase explain) I CA41d'A h S� }eMt VAc D�1�rCM I 0 1Ve(,k. 11c e/af
Scan
El
ocation i-{-ti/ Track--(A/
❑ 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 should be clearly marked as unapproved and contain a
note clarifying why it was included.
111 Scan 0 Saved location
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
SI Engineering
Qeerintrggy Department.
�WPO# Z0ld001 ROJECT TITLE r
FULL NAME OF ENGINEER: F IM f k1 ( o )c FINAL ACTION DATE:
Co ntyView —
'Limits of Disturbance Area(Ac)updated
'atus/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 to 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
(pat name)of the document in the space provided.
Application(signature copy)
Scan ❑ Saved location
VYApproved E&S Plan and/or SWM Plan and/or SWPPP(stamped"Approved")
In Scan ❑ Saved location
27Approgi Mitigation Plan(stamped"Approved")
Scan ❑ Saved location
❑ SWM Maintenance Agreement(executed and recorded)
❑ Scan ❑ Saved location Cd f e C()"A e Co(&(<& 06 tit
o
El SWM Deed/Easement Plat(recorded) �(.0 5 Iaet,—co!q+ElScan 111 Saved location S t] 201 g —4 L/
❑ Nutrient Credit Agreement '
111 Scan ❑ Saved location /1/
❑ Calculations stamped"Approved"
❑ Scan ❑ Saved location /V'J�
❑ Bond Estimate
E ❑ /VIA 061 e 0. bord k-)1 Atil
Scan Saved location
❑ ACOE/ACSA/VDOT Approval Letter(s) �'�
El Scan ❑ Saved location
Other Please explain) O IGS rt ad U ( G(5 e SWM Y1/1OM-e( al &kis t
Scan ElSaved 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 should be clearly marked as unapproved and contain a
note clarifying why it was included.
111 Scan ❑ Saved location