Fillable 360 MCDOT - TRAFFIC ENGINEERING DIVISION (Maricopa County Telecommunications)

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360 MCDOT - TRAFFIC ENGINEERING DIVISION (Maricopa County Telecommunications)

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Q:\FORMS\SID LETTERS (BLANK)\Sid106 Check list for paving.doc
Maricopa County Department of Transportation
Permitting & Plan Review Department
Permit Plan Review Pre-Submittal Check List
New Roadway Improvements
1 of 2
PROJECT NAME:
LOCATION:
CONSULTANT:
PROJECT #:
DATE RECEIVED:
CONTACT PERSON:
PHONE No.: ( ) _______________
RECEIVED BY (MCDOT):
Tel # (602) 506-8609 FAX # (602) 506-4009
PRIOR TO PLAN SUBMITTAL, CONSULTANT SHOULD VERIFY THE FOLLOWING INFORMATION HAS BEEN
INCLUDED ON THE PLANS. INCLUDE THIS CHECKLIST WITH THE PLAN SUBMITTAL
NO.
CHECK LIST OF REQUIRED INFORMATION
DONE
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COVER SHEET/DETAIL SHEET
PROJECT NAME AND ADDRESS (APN if available)
SITE LOCATION MAP
ENGINEER’S CONTACT INFORMATION: name, address, phone number, email address
OWNER/DEVELOPER INFORMATION: name, address, phone number, email address
INCLUDE THE FOLLOWING NOTE: LOCATION FOR AS-BUILT INDEXING
TOWNSHIP, RANGE, SECTION, ¼ SECTION
CURRENT MCDOT GENERAL NOTES: Include the latest version on cover or detail sheet.
http://www.mcdot.maricopa.gov/technical/eng-manuals/permits/SID-103_General-Notes-ROW-Permits.pdf
LEGEND (if necessary)
ARIZONA REGISTERED PROFESSIONAL CIVIL ENGINEER’S SEAL & SIGNATURE
BENCHMARK INFORMATION
ROADWAY CLASSIFICATION: Show on cover or detail sheet. (Requirements contained in MCDOT
Roadway Design Manual.)
DESIGN SPEED (or POSTED SPEED): DESIGN SPEED = _________ OR POSTED SPEED = __________
AVERAGE DAILY TRAFFIC (ADT): CURRENT ADT (_________) UNKNOWN (______)
PROJECTED ADT & YEAR (_________) UNKNOWN (______)
Current ADT’s can be found at: http://www.mcdot.maricopa.gov/technical/counts/home.htm
CLEAR ZONE DISTANCE: Show on cover or detail sheet. (Requirements contained in MCDOT Roadway
Design Manual.)
AS-BUILT STATEMENTS AS FOLLOWS:
I HEREBY CERTIFY THAT I HAVE REVIEWED THE “AS-BUILT” FOR THE ABOVE REFERENCED
PROJECT AND CERTIFY THAT THE PROJECT HAS BEEN CONSTRUCTED IN ACCORDANCE WITH
THE APPROVED IMPROVEMENT PLANS AND REVISIONS THAT IT WILL FUNCTION AS DESIGNED
AND PERMITTED.
Registered Civil Engineer
I HEREBY CERTIFY THAT THE “RECORD DRAWING” MEASUREMENTS AS SHOWN HERON WERE
MADE UNDER MY SUPERVISION OR AS NOTED ARE CORRECT TO THE BEST OF MY
KNOWLEDGE.
Registered Surveyor
ENGINEERS”S DECLATATION OF RESPONSIBLE CHARGE STATEMENT AS FOLLOWS:
I HEREBY DECLARE THAT I AM THE ENGINEER OF WORK FOR THIS PROJECT, THAT I HAVE
EXERCISED RESPONSIBLE CHARGE OVER THE DESIGN OF THE PROJECT AS DEFINED IN
SECTION R4-30-301 OF THE RULES OF THE ARIZONA STATE BOARD OF TECHNICAL
REGISTRATION, AND THAT THE DESIGN IS CONSISTENT WITH CURRENT STANDARDS. I
UNDERSTAND THAT THE CHECK OF THE PROJECT DRAWINGS AND SPECIFICATIONS BY
MARICOPA COUNTY IS CONFINED TO A REVIEW ONLY AND DOES NOT RELIEVE ME, AS
ENGINEER OF WORK, OF MY RESPONSIBILITIES FOR THE PROJECT DESIGN.
Q:\FORMS\SID LETTERS (BLANK)\Sid106 Check list for paving.doc
Maricopa County Department of Transportation
Permitting & Plan Review Department
Permit Plan Review Pre-Submittal Check List
New Roadway Improvements
2 of 2
PRIOR TO PLAN SUBMITTAL, CONSULTANT SHOULD VERIFY THE FOLLOWING INFORMATION HAS BEEN
INCLUDED ON THE PLANS. INCLUDE THIS CHECKLIST WITH THE PLAN SUBMITTAL
NO.
CHECK LIST OF REQUIRED INFORMATION
DONE
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PLAN SHEETS
TYPICAL SECTION: Show on cover or detail sheet. (Include all dimensions and cross-slopes.)
JURISDICTIONAL BOUNDARIES: Show city limits, Existing right-of-way, and any New or Proposed
Right-of-way.
NORTH DIRECTION ARROW & ENGINEER’S SCALE
EXISTING UTILITIES: Show all existing utilities (above and below ground). Also include any
relocations required or new installations.
EXISTING IMPROVEMENTS: Show the existing roadway features beyond the limits of this project for a
distance that is sufficient to address striping and signing compatibility.
(Include any driveways at either end or across from this project.)
SIGHT TRIANGLES: Verify that sight triangles are clear of obstructions as required in MCDOT Roadway
Design Manual. (Include intersections and driveways.)
TRAFFIC CONTROL: Indicate any special traffic control needs anticipated during construction.
(Particularly road or lane closures and/or detours.)
DRAINAGE DESIGN CRITERIA: Indicate design frequency and depth of flow for all drainage crossings.
(Requirements contained in FCD Drainage Regulations.)
DRAINAGE PATTERNS ARE CLEAR: Include contours, arrows, grade breaks
CULVERT CROSS SECTION & PROFILE: (Supporting calculation should be provided in a separate
Drainage Report)
STREET NAMES LABELED
SHOW AND LABEL MONUMENT LINE (section lines, mid-section lines)
GEOMETRIC CONTROL (Requirements contained in MCDOT Roadway Design Manual.)
EXISTING PAVEMENT CONDITION AT TIE-IN FOR WIDENING PROJECT: Check which applies
Not Applicable
Good condition for connection
Pavement edge in poor condition*
DESCRIPTION
*Applicant must include photos and description above if poor condition is
checked. Selection of poor condition will result in further MCDOT evaluation.
MCDOT Permitting will work with MCDOT Operations to evaluate existing
pavement and take action as deemed necessary.
MUNICIPALITY REQUIREMENTS: Has an adjacent municipality made requirements for improvements in
MCDOT right-of-way in beyond MCDOT’s requirements? Check which apples.
NO
YES (if yes, include a list of municipal requirements with the submittal packet)
ARIZONA REGISTERED PROFESSIONAL CIVIL ENGINEER’S SEAL & SIGNATURE
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360 MCDOT - TRAFFIC ENGINEERING DIVISION (Maricopa County Telecommunications)

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Completed 6 August 2020

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