4090A1
t 100 200
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
BLOUNT COUNTY SUBDIVISION REGULATIONS, EXCEPT AS NOTED HEREON; OR
PROPER PROVISIONS HAVE BEEN MADE FOR THEIR INSTALLATION.
DATE 20o`Z
SIGNATURE
p/
POSITION
CERTIFICATION OF ELECTRICAL UTILITY SERVICE
THE PROPERTY SHOWN ON THIS SUBDIVISION PLAT IS WITHIN THE SERVICE
AREA OF THE
THE FOLLOWING (ONDITION(S) APPLY:
LOTS J - Z ARE SERVED BY EXISTING POWERLINES; OR
ARE _/WILL BE SERVED -BY NEW POWERLINES
AS PER AGREEMENT BETWEEN OWNER OF SUBDIVISION PROPERTY AND UTILITY:
NOTE: IN ANY OF THE ABOVE INSTANCES, EXTENSION OF THE SERVICE
CONNECTION IS THE RESPONSIBILITY OF THE INDIVIDUAL LOT OWNER. IN
ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE UTILITY COMPANY.
DATE y
SIGNATURE�„�
TITLE
CERTIFICATE OF APPROVAL OF ROAD NAMES AND PROPERTY NUMBERS (E-911)
I HEREBY CERTIFY THAT (D 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 THE E-911 SYSTEM.
DATE 20
E-911 AUTHORIT
CERTIFICATE OF STREETS
THIS SUBDNISION LIES ALONG AN EXISTING PUBLIC COUNTY ROAD. THE
IMPROVEMENTS RELATED TO STREETS HAVE BEEN INSTALLED ACCORDING TO
COUNTY SPECIFICATIONS; AND ACCORDING TO THE SPECIFICATIONS OF THE
BLOUNT C,-)UNTY PLANNING COMMISSION'S SUBDIVISION REGULATIONS, EXCEPT
AS NOTED HEREON; OR PROPER PROVISIONS HAVE BEEN MADE FOR THEIR
INSTALLATION.
DATE �'
COUNTY FIGHW SUPERINT
Phyllis Lee Crisp, Register
Blount County Tennessee
Rec #:
591404
15.00
Instrument #: 898583
Rec'd:
State:
0.00
Recorded
Clerk:
0.00
2.00
2/17/2021 at 11:35 AM
Other:
Total:
17.00
in
FILE pgs 409OA-4090A
Map
File
NOTES:
1. IRON PINS AT ALL CORNERS.
2. REFERENCE TAX MAP 69 PARCEL 27
AND WDB 2364/2401 IN THE REGISTERS OFFICE FOR
BLOUNT COUNTY, TN.
3. ALL SETBACK LINES AS PER COUNTY ZONING ORDINANCE.
4, 5' UTILITY AND DRAINAGE EACH SIDE ALL INTERIOR LOT LINES
AND 10' INSIDE ALL EXTERIOR LOT LINES AND RIGHT OF WAY LINES.
5. THIS PROPERTY DOES NOT LIE IN THE FLOOD PLAIN.
6. THIS PROPERTY ZONED S-SUBURBANIZING.
7. THIS SURVEY DOES NOT WARRANT TITLE.
CERTIFICATION:
I HEREBY CERTIFY THAT THIS
IS A TN CATEGORY 2 SURVEY
WITH A CLOSURE OF 1:10,000 OR
BETTER AS SHOWN HEREON. ALSO.
THAT THERE ARE NO ENCROACH-
MENTS OR PROJECTIONS OTHER
THAN E SHCNJN AND TH T THIS
SU EY IS CORRECT TO T E B
O MY KN ILEXG4 AN IEF.
T I PTON TT7,AIffS JA99
p N °L T /�
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a
A. «1ME PEE o �P
S E E r1
CERTIFICATE OF ACCURACY
1 HEREBY CERTIFY THAT TH` PLAN SHOWN AND DESCRIBED HEREON IS A TRUE
AND CORRECT SURVEY TO THE ACCURACY REQUIRED BY THE BLOUNT COUNTY
PLANNING COMMISSION AND THAT THE MONUMENTS HAVE BEEN PLACED AS
SHOWN HEREON TO THE SPECIFICATIONS OF THE BLOUNT COUNTY SUBDIVISION
REGULATIONS.
DATE 20
REGISTERED SURVEYOR
S 06°19'52'E
9 . 4 4 ' -
N 06°09'14'W
78.69' -
N 06°09'14'W
4 6 . 6 3 '
BLOUNT COUNTY HEALTH DEPARTMENT.
PPROVAL IS H EBY GRANTED FOR LOTS cZ DEFINED AS
P�IY�.� '0m BEING SUITABLE FOR
SUBSURFACE SEWAGE DISSOS>LV(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 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.
DIRECTOR, ENVIRONMENTAL HEALTH 2jjL ALAAAb�— DAT E
BLOUNT COUNTY HEALTH DEPARTMENT
HOUSE SIZE, LOCATION AND DESIGN WILL DETERMINE THE ACTUAL
NUMBER OF BEDROOMS FOR WHICH A PERMIT MAY BE ISSUED.
LOTS 0 ARE APPROVED FOR STANDARD INDIVIDUAL
SUBSURFACE SEWAGE DISPOSAL SYSTEM SERVING A MINIMUM OF
THREE BEDROOMS.
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PROPANE L
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PIPE
` THIS LOT HAS NOT BEEN EVALUATED, PURSUANT TO THIS PLAT
REVIEW, FOR AN SSD SYSTEM AND PLAT APPROVAL DOES NOT CONSTITUTE
APPROVAL OF THIS LOT OR ANY EXISTINGOT FUTURE SSD SYSTEM.
THE ONNER ANDIOR 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 APPROIATE
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 APPROIATE AREA TO BE SERVED UNDISTURBED FOR SEPTIC
FIELD USE.
LOCATION MAP (NTS)
CERTIFICATION OF ONNERSHIP AND DEDICATION
I (WE) HEREBY 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,
1
owner REBA O R
owner KATHY WILLIAMSON
CERTIFICATE OF APPROVAL FOR RECORDING
I HEREBY CERTIFY THAT THE SUBDIVISION PLAT HEREON HAS BEEN FOUND TO COMPLY
WITH THE SUBDIVISION REGULATIONS FOR THE BLOUNT COUNTY PLANNING REGION,
WITH THE EXCEPTION OF SUCH VARIANCES, IF ANY. AS NOTED IN TFE MINUTES OF THE
PLANNING COMMISSION. AND THAT IT HAS BEEN APPROVED BY THA BODY FOR
RECORDING IN THE OFFICE OF THE COUNTY REGISTER.
... k
DATE a' ` 7.
9
SECRETARY, PLANNING CO iSSION
LEGEND:
EIP = EXISTING IRON PIN
IPS = IRON PIN SET
EWE