My 20 years in the construction trades have been vastly different than cvg's (I've only been an engineer for 8 of them).
My company regularly releases digital files to contractors, and so do my competitors. This makes sense, since they paid us a lot of money to make them. Most often (in the private sector) the engineer and surveyor are one in the same. And both work for the developer and contractor, who is, most often, one in the same.
I agree, the official contract document is the sealed mylar recorded at the courthouse. I disagree wholeheartedly that ...""hot" survey points are generated...by whatever method deemed suitable." It has been my experience that: since the late 90's en masse (but beginning in the mid-90's), in the mid-Atlantic and New England regions of the USA, digital files are the sole source of private sector land development stakeout. Perhaps the public sector still digitizes contours by hand, or scales points off plans and triangulates all day long to get survey datum; perhaps they do not. I can't speak to how governmental agencies input data.
In either case, however, DTM is generated soley from plan view data; profiles are used to check logic and fine-tune cut/fills. The more contours (which spot elevations do assist) given, the hotter the cut/fill stake is going to be, in my opinion. Cross sections, elevations and profiles do not come into play, in my experience, until much later.