La. Admin. Code tit. 33 § VII-3011
Document to be Filed in the Parish Records upon Final Closure of a Solid Waste Disposal Facility
[Name of permit holder] hereby notifies the public that the following described property was used for the disposal of solid waste. This site was closed on [date facility was closed] in accordance with the Louisiana Administrative Code, Title 33, Part VII. Inquiries regarding the contents of [the facility] may be directed to [name of person with knowledge of the contents of the facility] at [address of person with knowledge of the contents of the facility].
Property Description
[Provide the specific description of the location of the facility]
_________________________________
Signature of Person Filing Parish Record
_________________________________
Typed Name and Title of Person Filing Parish Record
_________________________________
Date
(A true copy of the document must be certified by the parish clerk of court.)
La. Admin. Code tit. 33, § VII-3011