4071BCERTIFICATION OF CATEGORY
AND ACCURACY OF SURVEY
I HEREBY CERTIFY THAT THE PLAN SHOWN AND
DESCRIBED HEREON IS A TRUE AND CORRECT SURVEY
TO THE ACCURACY REQUIRED BY THE LOUISVILLE
PLANNING COMMISSION AND THAT THE MONUMENTS HAVE
BEEN PLACED AS SHOWN HEREON TO THE SPECIFICATIONS
OF THE LOUISVILLE SUBDIVISION REGULATIONS.
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Terry E. Romans
Tenn. Reg. No. 2116
THIS SURVEY HAS BEEN MADE IN COMPLIANCE WITH
CURRENT TENNESSEE MINIMUM STANDARDS OF PRACTICE
I FURTHER CERTIFY THAT THIS SURVEY WAS PERFORMED
UNDER MY DIRECT SUPERVISION, THAT THIS DRAWING
ACCURATELY DEPICTS THE SURVEY, AND THAT IT IS
TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE,
INFORMATION, AND BELIEF. FIELD WORK WAS COMPLETED
10/15/20
THE MONUMENTS SHOWN WERE IN PLACE ON THAT DATE.
CERTIFICATION OF OWNERSHIP
AND DEDICATION
` rp—rr Li
ERNEST BREWSTER JR & DEBRAHEREBY CERTIFY
THAT I AM (WE ARE) THE OWNER(S) OF THE PROPERTY
SHOWN AND DESCRIBED HEREON AND THAT I (WE) HEREBY
ADOPT THIS PLAN OF SUBDIVISION WITH MY (OUR) FREE
CONSENT, ESTABLISH THE MINIMUM BUILDING RESTRICTION
LINES, AND DEDICATE ALL RIGHTS —OF —WAY, STREETS,
ALLEYS, WALKS, EASEMENTS, PARKS, AND OTHER OPEN
SPACESTO PUBLIC OR PRIVATE USE AS NOTED.
OWNER DATE
DATE
CERTIFICATION OF REMAINING ACREAGE
CERTIFICATION OF REMAINING ACREAGE I HEREBY CERTIFY
THAT THE REMAINING LAND ACREAGE IS GREATER THAN FIVE
ACRES AND THAT SAID REMAINING ACREAGE MEETS THE
ROAD FRONTAGE REQUIREMENTS PER THE LOUISVILLE
CERTIFICATION OF GENERAL APPROVAL ZONING ORDINANCE AND PER THE LOUISVILLE SUBDIVISION
FOR INSTALLATION OF SUBSURFACE REGULATIONS.
SEWAGE DISPOSAL SYSTEMS : s
SUBDIVISION IS APPROVED FOR SUBSURFACE SEWAGE ® I 12/28/20
DISPOSAL. OWNER/DEVELOPER SHALL OBTAIN FROM
THE COMMISSION/HEALTH AUTHORITY OR REPRESENTATIVE Terry E. Romans
A PERMIT FOR EACH LOT PRIOR TO ANY CONSTRUCTION Tenn. Reg. No. 2116
ON THE PROPERTY. THE PERMIT SHALL ESTABLISH THE
MAXIMUM SIZE DWELLING AND THE SPECIFIC LOCATION
OF THE PRIMARY AND SECONDARY DISPOSAL AREAS.
OWNER/DEVELOPER SHALL NOT DO ANY CONSTRUCTION
OR MUTILATION (CUTTING OR FILLING) OF THE SO
DESIGNATED PRIMARY AND SECONDARY DISPOSAL AREAS
WITHOUT THE PRIOR APPROVAL OF THE BLOUNT COUNTY
ENVIROMENTAL HEALTH DEPARTMENT.
N' I TI
DATE BLOUNT COUNTY DEPARTMENT OF ENVIROMENTAL HEALTH
CERTIFICATE OF APPROVAL FOR
RECORDING
I HEREBY CERTIFY THAT THE SUBDIVISION PLAT SHOWN
HERE HAS BEEN FOUND TO COMPLY WITH THE
SUBDIVISION REGULATIONS FOR LOUISVILLE, TENNESSEE
WITH THE EXCEPTION OF SUCH VARIANCES, IF ANY, AS
ARE NOTED IN THE MINUTES OF THE PLANNING
COMMISSION, AND THAT IT HAS BEEN APPROVED FOR
RECORDING IN THE OFFICE OF THE COUNTY REGISTER.
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SECRETARY, PLANNING COMMISSION
CERTIFICATE FOR LOUISVILLE DESIGN
REVIEW BOARD APPROVAL
I HEREBY CERTIFY THAT ANY MULTIFAMILY RESIDENTIAL,
INDUSTRIAL, OR COMMERCIAL LAND USE MUST BE
APPROVED BY THE LOUISVILLE DESIGN REVIEW BOARD.
-2,02-1 ►' aLJ,t 1_1M I�
ATE SECRETARY, LANNING COMMISSION
CERTIFICATE OF APPROVAL OF ROAD
NAMES AND PROPERTY NUMBERS (E-911)
I HEREBY CERTIFY THAT (1) THE NAMES OF EXISTING
PUBLIC ROADS SHOWN ON THIS SUBDIVISION PLAT ARE
CORRECT, (2) THE NAMES OF ANY NEW ROADS,
WHETHER PUBLIC OR PRIVATE, DO NOT DUPLICATE ANY
EXISTING NAMES AND SAID NAMES ARE APPROVED, AND
(3) THE PROPERTY NUMBERS OF THE LOTS SHOWN ON
THIS PLAT ARE IN CONFORMANCE WITH THEpE-911
SYSTEM.
a` CA -)a
DATE E-911 AUTHO
CERTIFICATION OF THE APPROVAL
OF STREETS AND UTILITIES
THIS SUBDIVISION LIES ALONG AN EXISTING PUBLIC
ROAD. THE IMPROVEMENTS RELATED TO STREETS OR
OTHER PUBLIC IMPROVEMENTS HAVE BEEN INSTALLED
ACCORDING TO LOUISVILLE PLANNING COMMISSION'S
SUBDIVISION REGULATIONS OR SPECIFICATIONS, WHEN
TOWN OF LOUISVILLE IS ACTING AS THE COUNTY'S
DESIGNEE.
DATE DESIGNATED ENGINEER FOR LOUISVILLE
BLOUNT COUNTY HEALTH DEPARTMENT
APPROVAL IS HEREBY GRANTED FOR LOT(S) 73�k DEFINED AS RE —SUBDIVISION
OF LOT 3 WOODLAND GRACE SUBDIVISION BEING SUITABLE FOR SUBSURFACE
SEWAGE DISPOSAL (SSD) WITH THE LISTED OR ATTACHED RESTRICTIONS.
PRIOR TO ANY CONSTRUCTION OF A STRUCTURE, MOBILE, OR PERMANENT,
THE PLANS FOR THE EXACT HOUSE/STRUCTURE LOCATION MUST BE
APPROVED AND A SSD SYSTEM PERMIT ISSUED BY THE DIVISION OF
ENVIRONMENTAL HEALTH. WATER TAPS, WATER LINES, UNDERGROUND
UTILITIES AND DRIVEWAYS SHOULD BE LOCATED AT THE SIDE PROPERTY
LINES UNLESS OTHERWISE NOTED. ANY CUTTING, FILLING, OR ALTERATION
0 HE SOIL CONDITIONS MAY VOID THIS APPROVAL.
DIRECTOR, ENVIRONMENTAL HEALTH, BLOUNT CO. HEALTH DEPARTMENT DATE
HOUSE SIZE, LOCATION, AND DESIGN WILL DETERMINE THE ACTUAL NUMBER OF
BEDROOMS FOR WHICH A PERMIT MAY BE ISSUED.
LOTS.-.-3.9 ARE APPROVED FOR STANDARDINDIVIDUALSUBSURFACE SEWAGE
DISPOSAL SYSTEM SERVING A MAXIMUM I VBEDROOMS.
THE OWNER AND/OR DEVELOPER OF ANY LOT, IN DEVELOPING THE LOT
INTO BUILDING, WHETHER PRIMARY STRUCTURE OR ACCESSORY
STRUCTURE, OR CONDUCTING ANY DEVELOPMENT OR USE THAT WILL
DISTURB SOILS ON THE LOT, SHALL RESERVE AND MAINTAIN AREA
SUFFICIENT FOR PRIMARY, SECONDARY (AND TERTIARY WHEN
APPLICABLE) SEPTIC FIELD LINES APPROPRIATE TO THE SIZE AND USE OF
BUILDINGS AND OTHER DEVELOPMENT OR ACTIVITIES. THE BLOUNT
COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SHOULD BE
CONSULTED PRIOR TO ANY CONSTRUCTION TO DETERMINE APPROPRIATE
AREA TO BE RESERVED UNDISTURBED FOR SEPTIC FIELD USE.
RNA(AINXG LANDS ARE GRIFATER THAN 5 ACRES
PART OF PARCEL 005.00
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MAP FILE 3321 B
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MAP FILE 3417A
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- - - - - L-S"PLES RD - - - - —
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GLENN RD
Phyllis Lee Crisp, Register
Blount County Tennessee
Rec #: 589176
Rec'd: 15.00 Instrument #: 895777
State: 0.00
Clerk: 0.00 Recorded
other: 2.00 1/20/2021 at 10:50 AM
Total: 17.00 in
Map File FILE Pgs 4071B-4071B
0
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0 60 120 180
SCALE: 1 INCH = 60 FEET
VICINITY MAP
NOT TO scuE
LEGEND
IR(N) ® IRON ROD (NEW)
1/2—INCH DIAMETER IRON ROD
W/ PLASTIC CAP ENGRAVED WITH
"ROMANS 2116"
IR(0) o IRON ROD OLD
— — — — LINE NOT SURVEYED
NOTES
1. PROPERTY OWNERS
ERNEST BREWESTER JR.
P.O. BOX 1042
LOUISVILLE, TN 37777
2. SURVEY REQUESTED BY:
ERNEST BREWESTER JR
(865)803-7360
3. SURVEY REQUESTED FOR:
TO ADJUST LOT 3 PROPERTY LINE.
SETBACKS:
FRONT = 30 FEET
4.
REFER TO LOCAL ZONING REGULATIONS FOR REQUIRED
SIDE = 10 FEET
SETBACKS.
REAR = 30 FEET
5.
THIS IS TO CERTIFY THAT 1 HAVE EXAMINED THE FLOOD
INSURANCE RATE MAP FOR BLOUNT COUNTY TENNESSEE AND
FOUND THAT HEREON DESCRIBED PROPERTY IS NOT LOCATED IN
A SPECIAL FLOOD HAZARD AREA.
6.
TEN (10) FEET IN WIDTH INSIDE ALL EXTERIOR LOT LINES
ADJOINING STREETS AND PRIVATE RIGHT—OF—WAYS AND FIVE (5)
FEET IN WIDTH SHALL BE PROVIDED ALONG BOTH SIDES OF ALL
INTERIOR LOT LINES AND ON THE INSIDE OF ALL OTHER
EXTERIOR LOT LINES.
7.
BEFORE DIGGING IN THIS AREA, CALL "ONE CALL" FOR FIELD
LOCATIONS (REQUEST FOR GROUND MARKINGS) OF
UNDERGROUND UTILITIES.
CERTIFICATION OF CATEGORY AND ACCURACY OF SURVEY
I HEREBY CERTIFY THAT THIS IS A CATEGORY 1 SURVEY AND THE RATIO OF PRECISION
THE UNADJUSTED SURVEY IN NOT LESS THAN 1:10,000.
E• n®
Terry E. Romans `\\� (L'$°®°°°•°•••°®°®° ////� Tenn. Reg. No. 2116
THIS SURVEY HAS BEEN MADE IN COMPLIANCE WITH
i
O •
CURRENT TENNESSEE MINIMUM STANDARDS OF PRACTICE •
I FURTHER CERTIFY THAT THIS SURVEY WAS PERFORMED
UNDER MY DIRECT SUPERVISION, THAT THIS DRAWING t m
ACCURATELY DEPICTS THE SURVEY, AND THAT IT IS '// °°®°TRUE °•"'
INFORMATION, AND BELIEF. FIELD CORRECT TO THE BEST
M WORKWASNCOMPLETED /OWLEDGE,/////i °rj' •°lp. \, �\
10/15/20 /�'111►1I1111000
THE MONUMENTS SHOWN WERE IN PLACE ON THAT DATE. 12/28/20
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