HomeMy WebLinkAbout4932ACertification of Ownership and Dedication
We hereby cerl that we are the owners of the property shown aril described hereon and that we hereby
adopt this plan ofsubdivision with our
free consent, establish the in
building restriction lines, and
dedicate all streets, alleys, walks, parks, and other open space to public or private use as noted.
Tamara Hicks (865-386.
403 Jackson Hills Drive
Maryville, TN37804
Blount County Health Department
Approval is hereby granted forlot (s) 1 defined as Lot I Tilson Family Revocable Living Trust Property suitable for
subsurface sewage disposal (SSD) with the listed or attached restrictions.
Prior to any construction ofa structure, mobile, orpermanent, theplans for the exact house)structure location mast be
approved and an 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
of the soil conditions may void this approval.
House size, location and design will determine the actual number of bedrooms for which a permit may be issued.
Lot(s) 1 are approved for standard individual subsurface sewage -disposal system serving a Minimum of_3_ bedrooms.
The owner and/or developer of any lot, in developing the lot into building, whetherprimary structure or accessory structure,
or conducting any development or use that will disturb soils on the lot, shall reserve and maintain area sufficientfor
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.
Certification of the Approval of Streets
I hereby certify that the streets and * have been installed in an acceptable
manner and according to Rockford street specifications, or t at an acceptable security arrangement has been
made with the planning commission to assure completion of all required improvements in case ofdefault.
Certification of the Approval of Utilities (Water)
I hereby certify that the water improvements have been installed in an acceptable manner
and according to the specifications of the Rockford Subdivision Regulations, except as
noted hereon; orproper provisions have been made for their installation.
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Certificate of
Approval of Street Names and Property Numbers (E-911)
I hereby cerdy that (1) the names of existing public streets/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 (3) the properly numbers ofthe lots shown on this plat are in conformance with the E 911 Svstem.
Certification of Electrical Utility Service
The property shown on this subdivision plat is within the service area ofthe
n� ef NamtnllL04,
the fo wing can ions apply:
Lots - are served by existingpowerlines; or
Lots // areAvill be served by new powerlines as per
agreemeen owner o suibdivision property and utility.
NOTE: In any ofthe above instances, extension ofthe service connection is the
responsibility ofthe individual lot owner, in accordance with the established policies ofthe
utility company /, w
Certificate of Approval for Recording
I hereby certi that the subdivision plat ,shown here has been found to comply
with the Subdivision Regulations for Rockford, Tennessee, with the exception of
such variances, if any, as noted in the minutes of the planning commission and
that it has been approved far recording in the Office of the County Registrar.
Certificate ofAccuracy
I hereby certify that the plan shown and described hereon is a true and correct survey to
the accuracy required by the Rockford Municipal Planning commission and that the
monuments have been placed as shown hereon, to the specifications ofthe subdivision
regulations, and I hereby certify that this is a category I survey and the ratio of
precision ofthe unadjusted survey is 1: 35, 703 as shown hereon and that this survey was
performed in compliance with current Tennessee Minimum Standards of Practice.
2
Alan T. Barnard, TN RLS #2366
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Surveyor's Notes:
1. This plat subdivides a 4.004 acre lot and leaves a remainder greater than 5 acres.
2. This survey reflects only matters of record as shown hereon.
3. No underground footers or utilities were located.
4. Drainage and utility easements shall be 5 feet wide on each side of interior lines
and 10 feet wide along exterior lines and street rights -of -way.
5. This property does not lie within a special flood hazard area as shown by
FIRM 1147009C0129C, effective 9119107.
6. City of Rockford Zone R-1- Low Density Residential.
0
Rockford Manufacturing Company
WDB 181 Page 428
IR(N)
30"Double Cherry
Baseline Surveying, PLLC
P.O. Box 6204; Maryville, 7N37802
Cell: (865) 256-11o4'!
Email: surveuom,7660umail.com
Remaining property of
The Tilson Family
Revocable Living Trust
(Greater titan 5 Acres)
Lot I
174405 Sq Ft
4.004 Acres
Legend:
IR(0) = Iron Rod (Old)
IR(N) = Iron Rod (New)
IP(0) = Iron Pipe (Old)
WDB = Warranty Deed Book
RB = Record Book
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to
Phyllis Lee Crisp, Register
Blount County Tennessee
Rae #:
695958
Rec'd:
15.00
Instrument N: 3033368
State:
0.00
Clerk:
0.00
Rocorded
Other:
2.00
5/15/2026 at 9:45 AM
Total:
19.00
in
Map
File FILE Pgs 4932A-4932A
Certificate of Exemption
The remaining property of The Tilson Family Revocable Living Trust does not
meet the definition ofa Subdivision as stated in Tennessee Code 13-3-401, because
(A) no new street or utility construction is requiired and (B) all tracts are 5 acres
or larger in size.
Surveyor: _l/Kta�- �!�'r� +'+'�itb� - W-2y2C
! Alan T. Barnard, TNRLS 2366 Date
452"11'E 529.6' to the centerline
intersection of Self Hollow Road
and Rockford Heights Road
100 0 100 200
GRAPHIC SCALE: 1" = 100'
Lott
Tilson Family Revocable Livinq Trust Pronertu
Project #3350 Blount County, Tennessee
District 11, CLT Map 018
Date: April 22, 2026 Part of Parcel 75.03
Owner: The Tilson Family Revocable Living Trust I Property address:
(Tamara Hicks and Chad Tilson Self Hollow Road
Successor Co -Trustees) Rockford, TN 37853
Deed Reference: Record Book 2306 Pacie 2567
49saA