E 2122 Consultant's Subdivision Development Certificate Pre Request Checklist

Checklist

Consulting Engineering Firm

Name of Representative

The utility has been inspected by the representative of the Consulting Engineering Firm (both named above) and is installed in accordance with approved drawing, specifications and requirements.

Yes

N/A

Initial and all re-inspections are reported and non-essential items are identified on report(s).

Yes

N/A

If the Certificate has been split into parts, the following is attached:

a) Development Commitments permission approval.

Yes

N/A

File Attachment (max 1MB)

b) Approved revised boundary drawing.

Yes

N/A

File Attachment (max 5MB)

Email(s) documenting Subdivision Development Inspections acceptance of Consultant's response(s) to all Development Field Orders are attached.

Yes

N/A

File Attachment (max 1MB)

Copy of Fire Department Strategic Services Hydrant Letter c/w boundary drawing is attached.

Yes

N/A

File Attachment (max 2MB)

Drop Test Density/Sieve Analysis results have been reviewed, found complete and acceptable, and are attached.

Yes

N/A

File Attachment (max 2MB)

Concrete test results have been reviewed, found acceptable, and are attached.

Yes

N/A

File Attachment (max 2MB)

OR

Concrete test results will be submitted prior to the date indicated as specified in the Consulting Engineer's Field Services Guidelines regarding non-essential items. (Note: concrete test results for concrete swale are an essential item)

Yes

N/A

Prior To Date

YYYY-MM-DD

I, the undersigned, certify that all checklist requirements have been reviewed and all statements made herein are correct. I understand incomplete or substandard items will result in additional delays in processing.

Name

Signature

Email

Cell #

The maximum file sizes are outlined for each attachment. The total size of all attachments must be less than 14 MB or the form will not submit. If your file(s) exceed 14 MB, complete this form and email your attachments directly to WaterUtilityInspections@calgary.ca.

File Attachment (max 5MB)