4784ACERTIFICATE OF OWNERSHIP AND DEDICATION
I (we) hereby certify that i am (we are) the owner(s) of the
property shown and described hereon and that 1(we) hereby
adopt this plan of subdivision with my (our) free consent,
establish the minimum bulding restriction lines and dedicate
all rights of way, street, alleys, walks, easements, parks
and other open spaces public or Nate se as poted.
-ems-ems ��A M �,cl-
DATE SIGNATURE
EXEMPTION
1 CERTIFY THAT THIS PLAT QUALIFIES UNDER THE PROVISIONS OF
SECTION 13-3-401 OF THE TENNESSEE CODE ANNOTATED AND IS
EXEMPT FROM THE REQUIREMENTS OF THE BLOUNT
COUNTY MINIMUM SUBDIVISION REGULATIONS, BECAUSE
(A) NO NEW STREET OR UTILITY CONSTRUCTION IS REQUIRED
(B) ALL RESULTANT TRACTS A OVER FIVE ACRES IN SIZE
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 teriary when applicable) septic field lines appropriate to the size
and use of buildings and other devlopment or activities. The Blount
County Environmental Department should be consulted prior to any
construction to determine appropriate area to be reserved for septic
field use.
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NOTES:
1) CORNER MONUMENTS AS SHOWN
9127 02p6° W \\♦����\�ENI IDCA�/ 2) PROPEC SU AND STO ETBALL ACKS APPICABLE
RECORDSEMENTS,
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(0) n' 3) PROPERTY ZONED: R-1
° IR S 76026'39" W = xrcu 4) SETBACKS PER REQUIRED ZONING AT TIME
(0) 63.49' OF CONSTRUCTION
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t� p. �4 / • ZS -s&;c �� 5) TOTAL AREA TRACT 4R1-1 10.44 ACRES; 454815.97 Sq.Ft.
i 5Q 100�Rc�S0 oW R
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6) FLOOD HAZARD BOUNDARY MAP, BLOUNT COUNTY,
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TENNESSEE COMMUNITY NUMBERA7009C
1PNp q\x0
-PANEL
I HEREBY CERTIFY THIS IS A CATEGORY 1 SURVEY AND
0175C, EFFICITIVE DATE SEPT. 19, 2007 SHOWS THAT
THE RATIO OF PRECISION OF THE UNADJUSTED SURVEY
THIS PROPERTY DOES NOT LIE IN ANY SPECIAL
IS 1 : 10,000 AS SHOWN HEREON. NO TITLE OPINION WAS
FLOOD HAZARD AREA.
STEVEN D.CRAIG, R.L.S. 1812
FURNISHED TO THIS SURVEYOR AND EASEMENTS SHOWN
-
AND/OR NOT APPARENT IN THE FIELD MAY OR MAY NOT BE
7)THIS PLAT DOES NOT WARRANT TITLE
569 PICKENS GAP ROAD
b Y A TITLE SEARCH BY A TITLE ATTORNEY.
SEYMOUR, TENNESSEE 37865
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GRAPHIC SCALE
TELEPHONE: (865) 659-3533
R: STEVEN D� AIG
E-MAIL: rlssurveyorl812@bellsouth.net
TENNESSEE REGISTRAT40N NUMBER 1812
100 50 0 100
200
LOCATION MAP NOT TO SCALE
OWNER:
WILLIAM D. MUSICK
1839 JEFFERIES HOLLOW ROAD
SEYMOUR, TENNESSEE 37865
5/8'
Phyllis Lee Crisp, Register
Blount County Tennessee
Roe #:
679235
Rea 'd:
15.00
Instrument N: 3011582
State:
0.00
Clerk:
0.00
Recorded
Other:
2.00
7/1/2025 at 9:25 AM
Total:
17.00
in
Map
File FILE Pgs 4784A-4784A
SURVEY TO COMBINE LOTS 4R-1 & 4R-2 FOR:
WILLIAM D. MUSICK
DISTRICT 13, BLOUNT COUNTY, TENNESSEE
TAX MAP: 030, PARCEL: 035.09
W.D. BOOK: PAGE: 844 sa
2.766 q4 C
TAX MAP: 030, PARCEL: 035.03
W.D. BOOK: 231 PAGE: Wz Biz z.z g0 Sic
TRACT 4R-1 & 4R-2, DIVISION OF TRACT 4,
ROBERT J. DAVIS ESTATE PROPERTY
PLAT FILE: 4378A, PLAT FILE: 2980B
SCALE: 1" = 100.00' DATE: JUNE 25, 2025
FILE: DAVID MUSICK HOUSE CHANGE
4784A