Page 1 COUNTY OF LINCOLN, NORTH CAROLINA 302 NORTH ACADEMY STREET, SUITE A, LINCOLNTON, NORTH CAROLINA 28092 BUILDING AND LAND DEVELOPMENT 704-736-8440 OFFICE 704-732-9010 FAX REQUIRED CERTIFICATES FOR EXEMPT SUBDIVISIONS Watershed Certificate The (name of subdivision) Subdivision, to the best of my knowledge, does not lie within a Water Supply Watershed designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. OR Lots (fill in the appropriate lot numbers) of the (name of subdivision) Subdivision, to the best of my knowledge, lie within the (classification of watershed) of the (name of body of water), as designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. Lots (fill in appropriate lot numbers) of the (name of subdivision) do not lie within a water supply watershed. Review Officer Certificate State Of North Carolina County of Lincoln County I,, Review Officer of Lincoln County, certify that the map or plat to which this certification is affixed meets all statutory requirements for recording. DATE REVIEW OFFICER
Page 2 Certificate of Survey & Accuracy I certify that this map was (drawn by me) (drawn under my supervision) from (an actual survey made by me) (an actual survey made under my supervision) (deed description recorded in Book, Page, etc.) (Other); that the ratio of precision as calculated by latitudes an departures is 1:, (that the boundaries not surveyed are shown as broken lines plotted from information found in Book, Page ); that this map was prepared in accordance with G.S. 47-30, as amended. Witness my hand and seal this day of A.D. 20. Certificate of ship and Dedication I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County and that I hereby adopt this plan of subdivision with my free consent and establish minimum lot size and building setback lines as noted. Exempt Certificate I hereby certify that to the best of my ability as subdivision administrator that I have determined that the subdivision plat shown hereon is not subject to the Lincoln County Subdivision Ordinance pursuant to Section 106 of the Lincoln County Subdivision Ordinance adopted August 7, 1989 and amended January 1, 1994. This determination is based on statements made by the applicant as to the combination or recombination of recorded lots, the status of roads, and the separation of land subsequent to August 31, 1989 and January 1, 1994. Furthermore such information, if incorrect, would result in the cancellation of this certificate. SUBDIVISION ADMINISTRATOR DATE Road Disclaimer Certification (if not on a public highway) All roads in this subdivision not currently maintained by NCDOT are private. Neither these nor any other roads shall be maintained by Lincoln County. All road maintenance and construction standards are the responsibility of the subdivider and subsequent owners of lots in the subdivision. Septic Disclaimer In approving this plat, Lincoln County does not guarantee the suitability of any lot for the placement of a septic tank system.
Page 3 Certificate of Approval for Recording I hereby certify that the subdivision plat shown hereon has been found to comply with the Subdivision Regulations of Lincoln County, North Carolina and that this plat has been approved by on for recordation in the Lincoln County Deeds Office. SUBDIVISION ADMINISTRATOR DATE LINCOLN COUNTY, NORTH CAROLINA Copies of all the required certificates can be found in the Lincoln County Subdivision Ordinance at http://www.lincolncounty.org/bald/pdfs/122904subord.pdf
Page 4 REQUIRED CERTIFICATES FOR FAMILY SUBDIVISIONS Watershed Certificate The (name of subdivision) Subdivision, to the best of my knowledge, does not lie within a Water Supply Watershed designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. OR Lots (fill in the appropriate lot numbers) of the (name of subdivision) Subdivision, to the best of my knowledge, lie within the (classification of watershed) of the (name of body of water), as designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. Lots (fill in appropriate lot numbers) of the (name of subdivision) do not lie within a water supply watershed. Certificate of Approval for Recording I hereby certify that this is an approved Family Subdivision Plat in accordance with Section 303A of the Lincoln County Subdivision Ordinance and that this plat has been approved for recordation in the Lincoln County Register of Deeds Office. Review Officer Certificate State Of North Carolina County of Lincoln County I,, Review Officer of Lincoln County, certify that the map or plat to which this certification is affixed meets all statutory requirements for recording. DATE REVIEW OFFICER Certificate of Survey & Accuracy I certify that this map was (drawn by me) (drawn under my supervision) from (an actual survey made by me) (an actual survey made under my supervision) (deed description recorded in Book, Page, etc.) (Other); that the ratio of precision as calculated by latitudes an departures is 1:, (that the boundaries not surveyed are shown as broken lines plotted from information found in Book, Page ); that this map was prepared in accordance with G.S. 47-30, as amended. Witness my hand and seal this day of A.D. 20.
Page 5 Certificate of ship and Dedication I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County. I hereby adopt this subdivision plan with my free consent. I further certify that the lots shown on this subdivision plat are created for immediate family members only as set out in section 303A of the Lincoln County Subdivision Ordinance. Road Disclaimer Certification (if not on a public highway) All roads in this subdivision not currently maintained by NCDOT are private. Neither these nor any other roads shall be maintained by Lincoln County. All road maintenance and construction standards are the responsibility of the subdivider and subsequent owners of lots in the subdivision. Septic Disclaimer In approving this plat, Lincoln County does not guarantee the suitability of any lot for the placement of a septic tank system.
Page 6 REQUIRED CERTIFICATES FOR MINOR/MAJOR SUBDIVISIONS Certificate of Survey & Accuracy I certify that this map was (drawn by me) (drawn under my supervision) from (an actual survey made by me) (an actual survey made under my supervision) (deed description recorded in Book, Page, etc.) (Other); that the ratio of precision as calculated by latitudes an departures is 1:, (that the boundaries not surveyed are shown as broken lines plotted from information found in Book, Page ); that this map was prepared in accordance with G.S. 47-30, as amended. Witness my hand and seal this day of A.D. 20. Certificate of ship and Dedication I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County and that I hereby adopt this plan of subdivision with my free consent and establish minimum lot size and building setback lines as noted. Certificate of Approval for Recording I hereby certify that the subdivision plat shown hereon has been found to comply with the Subdivision Regulations of Lincoln County, North Carolina and that this plat has been approved by on for recordation in the Lincoln County Deeds Office. SUBDIVISION ADMINISTRATOR DATE LINCOLN COUNTY, NORTH CAROLINA Watershed Certificate The (name of subdivision) Subdivision, to the best of my knowledge, does not lie within a Water Supply Watershed designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. OR Lots (fill in the appropriate lot numbers) of the (name of subdivision) Subdivision, to the best of my knowledge, lie within the (classification of watershed) of the (name of body of water), as designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. Lots (fill in appropriate lot numbers) of the (name of subdivision) do not lie within a water supply watershed.
Page 7 Septic Disclaimer In approving this plat, Lincoln County does not guarantee the suitability of any lot for the placement of a septic tank system. Review Officer Certificate State Of North Carolina County of Lincoln County I,, Review Officer of Lincoln County, certify that the map or plat to which this certification is affixed meets all statutory requirements for recording. DATE REVIEW OFFICER Individual Well Statement In approving this plat, Lincoln County does not guarantee the suitability of any community water supply system nor does Lincoln County guarantee that such a system will be suitable for conversion to a public water system owned and operated by a local government or public water authority. All lots must connect to an individual well. NCDOT Statement DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS PROPOSED SUBDIVISION ROAD CONSTRUCTION STANDARDS CERTIFICATION APPROVED: DISTRICT ENGINEER DATE: Private Road Design & Construction Certificate (Use for pre-existing private roads) I hereby certify that the proposed private road is in compliance with all the standards contained and referenced in Sections 405.2(B)(2) and 405.2(B)(7) of the Lincoln County Subdivision Ordinance, and that the travel way of said road is located within the road s right-of-way as shown on the plat. Engineer or Surveyor
Page 8 (Use this one for newly constructed private roads) I hereby certify that the proposed private road was constructed in accordance with the preliminary construction plans and profiles prepared in accordance with Section 405.2 (Private Roads) of the Lincoln County Subdivision Regulations. Engineer or Surveyor OFFICIAL SEAL Private Road Disclaimer Statement All subdivision roads are hereby declared private and shall not be maintained by the North Carolina Department of Transportation of Lincoln County. The maintenance of all roads in this subdivision shall be the responsibility of the developer and it shall be his responsibility to bring it up to the road standards as certified by the design and construction engineer. After transfer of ownership of the road to the Homeowner s Association it shall be their responsibility for maintenance. Improvement Certificate for Open Space If improvements for recreation and open space shall be completed after the final plat is submitted, but within two (2) years or when fifty percent (50%) of the total units have been issued occupancy permits, whichever comes sooner, the following certificate shall appear on all copies of the final plat submitted to the : IMPROVEMENT CERTIFICATE All improvements for recreation and open space shall be completed with two (2) years or when fifty percent (50%) of the total units have been issued occupancy permits, whichever comes sooner. Certificate of Approval of the Design and Installation of Streets, Utilities, and other Required Improvements (Road Maintenance Agreement) I hereby certify that all streets, public utilities and other required improvements have been installed in an acceptable manner and according to N.C. Department of Transportation specifications and standards in the Subdivision or as otherwise provided for in this Ordinance, or that guarantees of the installation of the required
Page 9 improvements in an amount and manner satisfactory to Lincoln County and that a final plat review fee has been paid in the amount of $50.00. Certificate of Conformity with Plans and Specifications LINCOLN COUNTY Subdivision Name: Developer: Name of Streets in Subdivision Name of Streets in Subdivision I hereby to the best of my knowledge, ability and belief certify that all street work to be performed on this subdivision will be checked by me or my authorized representative and will conform with lines, grades, cross-sections, dimensions, and material requirements which are shown on and indicated in the plans which have been reviewed and approved by the appropriate District Engineer, North Carolina Department of Transportation. Any significant changes or deviations will be reviewed and approved by the District Engineer or his authorized representative. When the streets have the proper number of homes constructed on them, I will petition the North Carolina Department of Transportation to add them to their system for maintenance. Until that time, I will keep the streets in a proper state of maintenance. I also acknowledge that falsification of the above certifications may subject me to civil suit and/or criminal prosecution under G.S. 14-100, 136-102.6. Signed: _ Developer or Authorized Representative Copies of all the required certificates can be found in the Lincoln County Subdivision Ordinance at http://www.lincolncounty.org/bald/pdfs/122904subord.pdf
Page 10 SUBDIVISION TECHNICAL REVIEW COMMITTEE (STRC) When a subdivision includes new roads or right-of-ways for dedication and/or if the subdivision is served by public or community water and/or sewer, the subdivision plat must be reviewed by the Lincoln County Subdivision Technical Review Committee. This committee meets on the third (3 rd ) Thursday of each month at 10 a.m. in the Building & Land Development Conference Room. Deadline for submittal is 21 days prior to the next regularly scheduled STRC meeting. The following will need to be submitted to the : 17 Plats 7 Road Plan Profiles 2 Sewer Plans 2 Water Plans 5 Erosion Plans After the committee meets and reviews the plats, the will notify the developer by letter of any corrections/revisions necessary. The STRC is made up of a representative of the following agencies: Lincoln County Health Department North Carolina Department of Transportation Lincoln County Soil and Water Conservation Lincoln County Public Works Lincoln County Planning Lincoln County Fire Marshal Lincoln County Mapping Lincoln County Addressing Lincoln County Voter Registration Lincoln County Schools
Page 11 This is completed in 2 stages. Stage 1 SUBDIVISION PROCEDURE Submit 2 paper copies for preliminary plat review to Planning & Zoning. Plats are reviewed by Mapping. Plats are returned to Planning and Zoning for review. Surveyor is notified of corrections, if any. Stage 2 When plat is ready for final review: Submit a mylar and six paper copies to Planning and Zoning. They are reviewed by Mapping. Plats are returned to Planning and Zoning for review. If all information is correct and complete, the Developer/Surveyor/ is contacted to pick up the mylar copy and pay for plat review. The owner must sign the final plat. Plat must be recorded with 20 days from date the mylar was signed. **Plat review will be completed within 21 days from date of submission. Plat Review Fees $100.00 + $5.00 per lot Planned District Fees 51-200 lots $500.00 201-300 lots $750.00 301-450 lots $1,000.00 451-600 lots $1,250.00 601+ lots $1,500.00
Page 12 MINIMUM LOT SIZES IN RESIDENTIAL DISTRICTS R-R R-T R-S, R-SF R-CR RL-14 RL-20 43,560 square feet (one acre) 32,500 square feet (0.75 acres) 22,500 square feet (0.52 acres) if public water and sewer are available; 32,500 square feet (0.75 acres) otherwise 14,000 square feet (0.32) acres if public water and sewer are available; 20,000 square feet (0.46 acres) if public water or sewer is available; 22,550 square feet (.052 acres) if neither public water or sewer is available 14,000 square feet (0.32 acres) 20,000 square feet (0.46 acres) Lincoln County requires any subdivision containing more than 50 lots to be rezoned to a conditional use Planned District. The Planned District regulations do not set a minimum lot size. However, a Planned District concept plan is subject to the approval of the Board of Commissioners, who can require modifications.
Page 13 CERTIFICATES EXEMPT CERTIFICATE I hereby certify that to the best of my ability as subdivision administrator that I have determined that the subdivision plat shown hereon is not subject to the Lincoln County Subdivision Ordinance pursuant to Section 106 of the Lincoln County Subdivision Ordinance adopted August 7, 1989 and amended January 1, 1994. This determination is based on statements made by the applicant as to the combination or recombination of recorded lots, the status of roads, and the separation of land subsequent to August 31, 1989 and January 1, 1994. Furthermore such information, if incorrect, would result in the cancellation of this certificate. SUBDIVISION ADMINISTRATOR DATE FAMILY SUBDIVISIONS CERTIFICATION OF OWNERSHIP AND DEDICATION I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County. I hereby adopt this subdivision plan with my free consent. I further certify that the lots shown on this subdivision plat are created for immediate family members only as set out in section 303A of the Lincoln County Subdivision Ordinance. ROAD DISCLAIMER STATEMENT All roads in this subdivision not currently maintained by NCDOT are private. Neither these nor any other roads shall be maintained by Lincoln County. All road maintenance and construction standards are the responsibility of the subdivider and subsequent owners of lots in the subdivision.
Page 14 CERTIFICATE OF APPROVAL FOR RECORDING I hereby certify that this is an approved Family Subdivision Plat in accordance with Section 303A of the Lincoln County Subdivision Ordinance and that this plat has been approved for recordation in the Lincoln County Register of Deeds Office.
Page 15 MINOR SUBDIVISIONS CERTIFICATE OF OWNERSHIP AND DEDICATION I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County and that I hereby adopt this plan of subdivision with my free consent and establish minimum lot size and building setback lines as noted. CERTIFICATE OF CONFORMITY WITH PLANS AND SPECIFICATIONS LINCOLN COUNTY Subdivision Name: Name of Streets in Subdivision Name of Streets in Subdivision Developer: I hereby to the best of my knowledge, ability and belief certify that all street work to be performed on this subdivision will be checked by me or my authorized representative and will conform with lines, grades, cross-sections, dimensions, and material requirements which are shown on and indicated in the plans which have been reviewed and approved by the appropriate District Engineer, North Carolina Department of Transportation. Any significant changes or deviations will be reviewed and approved by the District Engineer or his authorized representative. When the streets have the proper number of homes constructed on them, I will petition the North Carolina Department of Transportation to add them to their system for maintenance. Until that time, I will keep the streets in a proper state of maintenance. I also acknowledge that falsification of the above certifications may subject me to civil suit and/or criminal prosecution under G.S. 14-100, 136-102.6. Signed: _ Developer or Authorized Representative
Page 16 If private roads are created in the subdivision, the following certificate and disclaimer shall also appear on all copies of the final plat submitted to the Subdivision Administrator: PRIVATE ROAD DESIGN AND CONSTRUCTION CERTIFICATION (Use this one for pre-existing private roads) I hereby certify that the proposed private road is in compliance with all the standards contained and referenced in Sections 405.2(B)(2) and 405.2(B)(7) of the Lincoln County Subdivision Ordinance, and that the travel way of said road is located within the road s right-of-way as shown on the plat. Engineer or Surveyor (Use this one for newly constructed private roads) I hereby certify that the proposed private road was constructed in accordance with the preliminary construction plans and profiles prepared in accordance with Section 405.2 (Private Roads) of the Lincoln County Subdivision Regulations. Engineer or Surveyor OFFICIAL SEAL PRIVATE ROAD DISCLAIMER STATEMENT All subdivision roads are hereby declared private and shall not be maintained by the North Carolina Department of Transportation of Lincoln County. The maintenance of all roads in this subdivision shall be the responsibility of the developer and it shall be his responsibility to bring it up to the road standards as certified by the design and construction engineer. After transfer of ownership of the road to the Homeowner s Association it shall be their responsibility for maintenance.
Page 17 If public roads are created in the subdivision, the following certificate shall appear on all copies of the final plat submitted to the : PUBLIC ROAD CERTIFICATE All roads in this subdivision are hereby declared public. The maintenance of all streets and roads in this subdivision shall be the responsibility of the developer and, it shall be their responsibility to bring the roads up to standards of the North Carolina Department of Transportation secondary roads. COMMON OPEN SPACE CERTIFICATE If improvements for recreation and open space shall be completed after the final plat is submitted, but within two (2) years or when fifty percent (50%) of the total units have been issued occupancy permits, whichever comes sooner, the following certificate shall appear on all copies of the final plat submitted to the : IMPROVEMENT CERTIFICATE All improvements for recreation and open space shall be completed with two (2) years or when fifty percent (50%) of the total units have been issued occupancy permits, whichever comes sooner. CERTIFICATE OF APPROVAL FOR RECORDING I hereby certify that the subdivision plat shown hereon has been found to comply with the Subdivision Regulations of Lincoln County, North Carolina and that this plat has been approved by on for recordation in the Lincoln County Deeds Office. SUBDIVISION ADMINISTRATOR LINCOLN COUNTY, NORTH CAROLINA DATE
Page 18 PRIVATE ROAD CERTIFICATION-PRELIMINARY CONSTRUCTION PLANS AND PROFILES The proposed private road meets all right-of-way and construction standards referenced to in Section 405.2 of the Lincoln County Subdivision Regulations excepting that the road provides access to five (5) or fewer lots and is unpaved and graveled and has a minimum road surface width of sixteen (16) feet. Engineer or Surveyor PRIVATE ROAD CERTIFICATION-PRELIMINARY CONSTRUCTION PLANS AND PROFILES The proposed private road meets all right-of-way and construction standards referenced to in Section 405.2 of the Lincoln County Subdivision Regulations. The road is to be paved to a minimum road surface width of sixteen (16) feet. Engineer or Surveyor CERTIFICATE OF APPROVAL FOR RECORDING I hereby certify that the subdivision plat shown hereon has been found to comply with the Subdivision Regulations of Lincoln County, North Carolina and that this plat has been approved by on for recording in the Lincoln County Deeds Office. Lincoln County, North Carolina CERTIFICATE OF OWNERSHIP AND DEDICATION I hereby certify that I am the owner of the property shown and described hereon, which is located in the subdivision jurisdiction of Lincoln County and that I hereby adopt this plan of subdivision with my free consent, establish minimum building setback lines, and dedicate all streets, walks, parks, and other sites and easements to public or private as noted. Furthermore, I hereby dedicate all sanitary sewers to, all storm sewer systems to and all water lines to.
Page 19 CERTIFICATE OF APPROVAL OF THE DESIGN AND INSTALLATION OF STREETS, UTILITIES, AND OTHER REQUIRED IMPROVEMENTS I hereby certify that all streets, public utilities and other required improvements have been installed in an acceptable manner and according to N.C. Department of Transportation specifications and standards in the Subdivision or as otherwise provided for in this Ordinance, or that guarantees of the installation of the required improvements in an amount and manner satisfactory to Lincoln County and that a final plat review fee has been paid in the amount of $50.00. WATERSHED CERTIFICATES The (name of subdivision) Subdivision, to the best of my knowledge, does not lie within a Water Supply Watershed designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. OR Lots (fill in the appropriate lot numbers) of the (name of subdivision) Subdivision, to the best of my knowledge, lie within the (classification of watershed) of the (name of body of water), as designated by the North Carolina Division of Environmental Management as appears on the Watershed Protection Map of Lincoln County. Lots (fill in appropriate lot numbers) of the (name of subdivision) do not lie within a water supply watershed. LINCOLN COUNTY SEPTIC TANK DISCLAIMER In approving this plat, Lincoln County does not guarantee the suitability of any lot for the placement of a septic tank system.
Page 20 LINCOLN COUNTY WELL OR PUBLIC WELL NOTATION In approving this plat, Lincoln County does not guarantee the suitability of any community water supply system nor does Lincoln County guarantee that such a system will be suitable for conversion to a public water system owned and operated by a local government or public water authority. All lots must connect to an individual well. REVIEW OFFICER CERTIFICATE State Of North Carolina County of Lincoln County I,, Review Officer of Lincoln County, certify that the map or plat to which this certification is affixed meets all statutory requirements for recording. DATE REVIEW OFFICER NCDOT SIGNATURE CERTIFICATE DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS PROPOSED SUBDIVISION ROAD CONSTRUCTION STANDARDS CERTIFICATION APPROVED: DISTRICT ENGINEER DATE: