SURVEY SUBMITTAL CHECKLIST <br /> (ORS 209.250 & Lane County Surveyor’s Office Policy) <br /> <br /> <br /> <br />SURVEYOR: ____________________________________ TRS & ¼ :_____________________ <br /> <br />CLIENT:____________________________________ SUBMITTAL DATE:________________ <br /> <br />MAP: <br />1) Location of survey by ¼ Section, Township & Range ………………………………. _______ <br />2) Date of survey ………………………………………………………………………... _______ <br />3) Scale of the drawing and North arrow ………………………………………………. _______ <br />4) Surveyor’s seal, original signature and expiration date……………………………….. _______ <br />5) Surveyor’s business name and address ………………………………………………. _______ <br />6) Client’s name ………………………………………………………………………… _______ <br />7) Map & Tax Lot information in the Lower Left-Hand corner…….…………………… _______ <br />8) Provide space in the Upper Right-Hand corner (landscape page orientation) for CSF <br /> stamp or use DXF template available on-line. (See filing policy for space size.) …… _______ <br />9) Basis-of-Bearing ………………………………………………………………………. _______ <br /> 10) Show the name and right -of-way width of all streets…………………………..……. _______ <br /> 11) All measured bearings, angles and distances that were used as a basis for establishing <br /> or re-establishing lines or monuments, separately indicated from those of record, <br /> together with the recording reference ……………………………………………….… _______ <br /> 12) All monuments set and their relation to older monuments found, including a detailed <br /> description of monuments found and set ……………………………………………… _______ <br /> 13) A tie to a monumented section corner, one-quarter corner, one-sixteenth corner or a <br /> Donation Land Claim corner in Township & Range, or to a monumented lot or parcel <br /> corner or boundary corner of a recorded subdivision, partition, or condominium……. _______ <br /> 14) The map & narrative shall be made on policy approved drafting material in sizes <br /> 8 ½x14, 11x17, 14x17, 18x24 (larger sizes require prior approval)………………………... _______ <br /> PROPERTY LINE ADJUSTMENTS: <br />1) Surveys for property line adjustments administered under the jurisdiction of Lane County per <br /> Lane Code 13.130 shall be accompanied by documentation showing approval of Lane County <br /> Planning at the time of map submittal.………………………………………….………_______ <br /> <br />NARRATIVE of SURVEY: <br />1) Explain the purpose of the survey and how the boundary lines or other lines were <br /> established or re-established and state which deed records, deed elements, <br /> survey records, found survey monuments, plat records, road records or any other <br /> other pertinent data were controlling when establishing or re-establishing the lines … _______ <br /> “SEPARATE” NARRATIVES: (Separate document): <br />1) Location of the survey by ¼ Section, Township & Range …………………………… _______ <br /> 2) The client’s name, survey date, surveyor’s business name & address ……………….. _______ <br /> 3) The Surveyor’s seal & original signature …………………………………………….. _______ <br /> <br /> By signing below, you are verifying that your accompanying survey for filing complies with this <br />Survey Submittal Checklist and meets the requirements of ORS 209.250, and the Lane County <br />Surveyor’s Office Filing Policies for Land Survey Maps & Narratives. <br /> <br /> Surveyor’s Signature:_________________________________Date:_________________ <br /> Contact Telephone No.: ________________Email: _______________________________ <br />For Office Use Only <br /> <br />ID # ______________________ <br /> <br />Receipt#________________ <br />