E.P. Ferris & Associates, Inc.
880 King Avenue
Columbus, Ohio 43212
Phone: 614-299-2999
Fax: 614-299-2992

Edward P. Ferris, PE, PS
President

Joseph A. Ridgeway, Jr, PE
Senior Vice President

Matt Ferris, PE, PS
Vice President

Copyright © 2005. EP Ferris & Associates.

Survey Quote Request Form

Your Information

Your Name E-Mail Address
Company Name
Address Phone Number
City, State ZIP Fax



Property Information
Address City/Township
County ZIP
Current Owner New Owner
Legal Description or Additional Information (optional)
Parcel Number Deed book & page/ORV/Instrument#
Subdivision Plat Book Page
Acres



Survey Type
Boundary Survey

Mortgage Location Survey

ALTA Survey (Select desired items. Typical items are already selected.)
1. Monuments placed
2. Vicinity map
3. Flood zone designation
4. Land area, as specified
5. Contours and the datum of elevation (Topography)
6. Restrictions on setback, height and floor space area
7. (a) Exterior dimensions of all buildings at ground Level
(b) Square footage of:
     (1) exterior footprint of all buildings at ground level
     (2) gross floor area of all buildings; or
     (3) other areas to be defined by the client
(c) Height of buildings
8. Substantial, visible improvements in addition to buildings
9. Parking area, including stripes, and type (e.g. handicapped, etc.)
10. Public access, such as curb cuts and driveways
11. Location of utilities existing on or serving the surveyed property as determined by:
(a) Observed evidence
(b) Observed evidence along with evidence from plans obtained from utility companies
12. Governmental agency survey-related requirements
13. Names of adjoining owners of platted lands
14. Distance to neareast intersecting street
15. Discussion of rectified orthophotography, photogrammetric mapping, laser scanning, etc.
16. Observable evidence of recent construction
17. Observable evidence of recent street or sidewalk construction
18. Observable evidence of use as a landfill



Date of Completion: