6e_survey compliance review form.doc

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Texas
Department
of Transportation
Compliance Certificate
Right-of-Way Acquisition
Survey Document Review & Certification
Parcel No.:
Date of Documents Reviewed
Project:
Parcel Description:
County:
Parcel Plat:
ROW CSJ No.:
Control of Access:
Federal Aid No.:
ROW Map Sheets:
Being a Registered Professional Land Surveyor in the State of Texas, the above stated parcel has been
reviewed by myself or under my supervision. In my professional opinion and within the scope of this
Compliance Certificate, the parcel description, parcel plat, right-of-way map and control of access
document (if required) and map check closure report are consistent as to the information delineated
thereon. Neither the boundary location nor the survey methods used to delineate the above stated tract of
land were a part of the scope to be reviewed and are not to be considered a part of this Compliance
Certificate.
Consultant Reviewer: _________________________________
Signature
Consultant Information:
Company: ________________________________
Address: _________________________________
Address: _________________________________
City:
Phone: _______________
Facsimile: _____________
State: _______
Zip: _______
____________
Date
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