Checklist for submission of survey plats creating four or fewer lots in
West Feliciana Parish
Date
The name of the plat ____________________________________________________________________________________________________________________________________
q One acre lots must be reviewed by the state health officer before plats are delivered to the parish for signatures
q Descriptive Title
q Legal Description (Section, Township, Range)
q Name owner/subdivider/developer & address
q Lot number, size, acreage, all dimension & bearings
q Size of the remainder lot, if applicable
q Names of adjoining property owners
q North point & scale greater than or equal to 1: 500
q Accurate location and material, type, and description of all permanent markers & monuments.
q Utility servitude, easements & rights of ways.
q Front building setback line
q Location of existing structures & side yard setback
q Vicinity map
q Road or street name, number or highway
q Reference to the base bearing and point of beginning bearings. Some point on the ground (section corner/ road intersection)
q Sewer statement
No person shall provide a method of wastewater disposal until that method has been approved by the West Feliciana Health Unit. The owner of the property will be informed that he effluent has to be discharged into open ditches that have to be perpetually maintained and the building site has to be (2) two feet above the ditch the effluent is discharged in.
q Zoning district
q Flood zone
q Exception (waiver, or variance if applicable)
q Original number to reference map. Book and page number, if available.
q Signature and seal of land surveyor
q Signature line for Planning & Zoning, Parish, Public Health Officer and School Board
q Submit (7) Seven copies
Notes ____________________________________________________________________________________________________________________________________________________________
I have reviewed this survey and certify that the
foregoing information is included this survey.
Signature __________________
Signature of Registered land surveyor.
