4373ACERTIFICATE OF OWNERSHIP AND DEDICATION
BLOUNT COUNTY HEALTH DEPARTMENT
I (we) hereby certify that i am (we are) the owner(s) of the
property shown and described hereon and that 1 (we) hereby Approval is hereby granted for lot(s) 2 defined as Shirley & Joyce Ann
adopt this plan of subdivision with my (our) free consent, Gibson Property being suitable for subsurface sewage disposal (SSD)
establish the minimum bulding restriction lines and dedicate with the list or attached restrictions.
all rights of way, street, alleys, walks, easements, parks
and other open spaces to pubic or pnvat use as a, noted. Prior to any construction of a structure, mobile or permanent, the plans
1ZZ for the exact house/structure location must be approved and a (SSD)
O ` -Cr , system permit issued by Division of Environmental Health. Water taps,
DATE SIGNATURE: Shi ley Gibson water lines, underground utilities and driveways should be located at
O-�1^
22gt��j� y1 the side property lines unless otherwise noted. Any cutting, filling or
.
DATE TUBE: Joyce Ann Gibson alteration of the soil conditions may void this approval.
,
Director, Environmental Health, Date
CERTIFICATE OF APPROVAL FOR RECORDING Blount County Health Department
I hereby certify that the subdivision plat shown hereon has House size, location and design will determine the actual number of
been found to comply with the subdivision regulations for bedrooms for which a permit may be issued.
the Blount County Planning Region, with th exceptions of
such variances, if any, as noted in the min es of the planning Lot(s) 2 is approved for standard individual subsueface sewer disposal
commisspn and een approved y that bo for system serving a maximum of 3 bedrooms.
re ordin in_t office of the c m4regq!V_� The owner and/or developer of any lot, in developing the lot into building.
whether primary structure or accessory structure, or conducting any
TE RE 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 development or activities. The Blount County Environmental
Health Department should be consulted prior to any construction to
CERTIFICATE OF APPROVAL OF ROAD NAMES AND PROPERTY NUMBERS (E - 911
determine appropriate area to be reserved undisturbed for septic field use.
)
This lot(s) 1 has not been evaluated, pursuant to this plat review, for a
I hereby certify that (1) the names of existing public roads shown on this subdivision plat are correct. SSD system and plat approval does not constitute approval of this lot
(2) the names of any new roads, whether public or provate, do not duplicate any existing names and or any existing or future SSDS system.
and said names are approved, and (3) th property numbers of the Jots shown on this plat are in
conformance with thee - 911 System.
Date E - 91 AUTHO
CERTIFICATION OF THE APPROVAL OF STREETS
This subdivision lies along an existing public County road. LANDMARK SEYMOUR LLC
The improvements related to the streets have been installed TAX MAP: 012, PARCEL: 05.24
according to County specifications; and according to the W.D. BOOK: 2627, PAGE: 2159
specifications of the Blount County Planning Commission's
Subdivision Regulations, except a noted he on; or ,Og39
proper p vis' ns have been m fort ei stallation.
3
CERTIFICATION OF THE APPROVAL OF UTILITIES (WATER)
Ihereby 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
provision have been made for their installation
G as 1 o902
- ------------- ---------------------- - ----------------------------
DATE SIGNATURE & POSITION
COMMON DRIVEWAY
Subdivision of lots having exclusive access along the joint
permanent easement (common driveway) is limted to no
more than four (4) lots maximun.
The owners of lots 1 and 2 have access along the joint
permanent easement (common driveway) shall be jointly
responsible for the perpetual maintenance of the joint
permanent easement and all deeds for said lots shall
specify such responsibility and mechanisms for
maintenance
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OWNERS:
SHIRLEY GIBSON & JOYCE ANN GIBSON
902 CHRIS HAVEN DRIVE N
SEYMOUR, TENNESSEE 37865
PHONEI (856) 603-7836
1/2" IR/F
@ FENCE POST
& LARGE
POPLAR o HOLLINGSWORTH
TAX MAP: 012, PARCEL: 07.01 NOTES:
oo�g0 W.D. BOOK: 2616, PAGE: 2555 1) CORNER MONUMENTS AS SHOWN.
u2°
N621a522 g 2) PROPERTY SUBJECT TO ALL APPLICABLE EASEMENTS,
IR/F � c, so SETBACKS AND RESTRICTIONS OF RECORD.
3) TOTAL NUMBER OF LOTS: 2
4) TOTAL AREA: 4.91 ACRES, 214250.38 Sq.Ft.
/ 5/8"
/ IR/S
25.00' PERMANENT PRIVATE
----� - �"- - - -- - -------- ------ NONEXCLUSIVE EASEMENT
DAT COU I SUPERINTENDENT FOR INGRESS, EGRESS,
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: /�" a s' o? a"
SIGNATURE
flso f A4171 J &"-
POSITION
CERTIFICATE OF ACCURACY
1 hereby certify that the 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 Co bdivision Regulations.
Aug. 16, 2022
DATE EN D. CRAIG
TN. R.L.S. 1812
I HEREBY CERTIFY THIS IS A CATEGORY 1 SURVEY AND
THE RATIO OF PRECISION OF THE UNADJUSTED SURVEY
IS 1 : 10,000 AS SHOWN HEREON. NO TITLE OPINION WAS
FURNISHED TO THIS SURVEYOR AND EASEMENTS SHOWN
AND/OR NOT APPARENT IN THE FIELD MAY OR MAY NOT BE
DISCOVER BYYAA�TITLE SE RCH BY A TITLE ATTORNEY.
EYOR: STEVEN D. CRAIG
TENNESSEE REGISTRATION NUMBER 1812
STEVEN D.CRAIG, R.L.S. 1812
E
569 PICKENS GAP ROAD
SEYMOUR, TENNESSEE 37865
TELEPHONE: (865) 659-3533
S E-MAIL: rissurveyor1812@bellsouth.net
1/2" DRAINAGE & UTILITILES
IR/F LOT 5/5„ TO SERVE LOT 2
0 IR/S SHADED AREA �j r
1 s (SEE NOTE 10)
3.91 Ac. ems, / ��� ti o3`b0'
ooa�3' 170257.97 Sq.Ft. N� ��, �oJ�v / ��5��
oy44
BARN 5R/S `'1 °Ary�ya • iws • "' 9�CJ�.`57 /
FENCE MEANDERS �' O`��
1/2" IR/F fJrO 3od e� ? // • <lR c
@PosrE G PROPERTY LINE ,3�b 5 ao ASoy
1/2" IR/F t0� �5�•p0°� G.�/ �� ; �; ��
@E \ �� LOT 5/8"
POST�� v\
Z�t90 L G✓�/% IR/
1.01 ACRES J
p ' 43992.41 Sq.Ft. \./ .,`Q
BLACK �GL . �o �� �. r ��G/ �6 ..5� �\ �/
TAX MAP: 012, PARCEL: 02.00 5���O��G ��. , p6�/
W.D. BOOK: 2692, PARCEL: 1713 g ��` Cl �� `/�/ D� CJ r ��NCO
�G�GQSz, / CO r `R- GQ��
IR/F p // �!r
@POSTE �QO 5/8"
LOVEDAY
IRIS /r
TAX MAP: 012, PARCEL: 03.00 2S
W.D. BOOK: 2358, PAGE: 1878 \p,
CERTIFICATION OF ELECTRICAL UTILITY SERVICE LINE CHART
The property shown on this subdivision plat is within the service are of
the C I—T V 0 l` 4L-e-oh9-
The following condition(s) apply:
Lots _L - are served by existing powerlines; or
Lots _� - 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.
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Q�.
RE
TITLE
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C sty.
:�ut.T %l
uFF NO.�
LINE
BEARING
DISTANCE
L-1
S 48°38'22" W
78.00'
L-2
N 39°31'31" W
25.01'
L-3
N 48°38'22" E
71.53'
L-4
S 54°08'04" E
25.63'
GRAPHIC SCALE
100 50 0 100 200 300 400
Phyllis Lee Crisp, Register
Blount County Tennessee
Rec #: 634286
Rec'd: 15.00 Instrument #: 953319
State: 0.00
Clerk: 0.00 Recorded
Other: 2.00 11/14/2022 at 11:40 AM
Total: 17.00 in
Map File FILE Pgs 4373A-4373A
LOT 1: 3.91 ACRES, 170257.97 Sq.Ft.
LOT 2: 1.01 ACRES, 43992.41 Sq.Ft.
5) PROPERTY ZONED: R 1
6) BUILDING SETBACKS:
FRONT: 30.00 , SIDE: 12.50', REAR: 30.00'
7} 10.00- UTILITY AND DRAINAGE EASEMENT INSIDE ROAD
FRONTAGE AND S/D PERIMETER LOT LINES, 5.00' EACH
SIDE OF ALL LOT LINES.
8) MAGNETIC NORTH BASED ON PLAT OF RECORD TITLED
RESUBD. OF LOTS 13 - 20 BROOKHAVEN FARMS, FILE
NUMBER 2621 B IN THE REGISTER'S OFFICE OF
BLOUNT COUNTY, TENNESSEE
9) FLOOD HAZARD BOUNDARY MAP, BLOUNT COUNTY,
TENNESSEE COMMUNITY -PANEL NUMBER: 47009C
0175C, EFFICITIVE DATE SEPT. 19, 2007 SHOWS THAT
THIS PROPERTY DOES NOT LIE IN ANY SPECIAL
FLOOD HAZARD AREA.
10) DRIVEWAY ACCESS TO LOT 2 SHALL BE OFF THE
EASEMENT SHOWN ONLY. NO OTHER DRIVEWAY
ACCESS TO CHRIS HAVEN DRIVE FOR LOT 2.
11) BUILDINGS AND/OR PORTION OF BUILDINGS
WITHIN SETBACKS IF EVER REMOVED, WILL
BE REQUIRED TO MEET ALL ZONING RULES AND
REGULATIONS IN PLACE AT THE TIME OF
NEW CONSTRUCTION.
12) THIS PLAT DOES NOT WARRANT TITLE.
SUBDIVISION OF:
SHIRLEY GIBSON & JOYCE ANN GIBSON
PROPERTY
DISTRICT: 13, BLOUNT COUNTY, TENNESSEE
TAX MAP: 012, PARCEL: 004.00
PROPERTY ADDRESS: 902 CHRIS HAVEN DRIVE N
SEYMOUR, TENNESSEE 37865
W.D. BOOK: 603, PAGE: 782
SCALE: 1" = 100.00' DATE: AUG. 16, 2022
PROJECT: GIBSON 012 004.00 BLOUNT CO