APPENDIX B: REQUIRED SUBDIVISION PLAT CERTIFICATIONS
Certificate of ownership and dedication
The undersigned hereby certifies that the land shown hereon is owned by the undersigned, and hereby freely dedicates all rights-of-way, easements, streets, recreation areas, open spaces, common areas, utilities, and other improvements to public or private common use as noted on this plat, and further assumes full responsibility for the maintenance and control of said improvements until they are accepted for maintenance and control by an appropriate public body or by an incorporated neighborhood or homeowners’ association or similar legal entity.
                                                                                                      
Owner(s)                     Date
 
Certificate of survey and accuracy
I                                            , certify that this plat was drawn under my supervision from (an actual
survey made under my supervision) (deed description recorded in Book          , Page          , etc.) (other); that the ratio of precision is 1:                  ; that the boundaries not surveyed are shown as broken lines plotted from information found in Book         , Page          ; that this plat was prepared in accordance with G.S. § 47-30, as amended. Witness my original signature, registration number, and seal this         day of                     , A.D. 20       .
                                            
Surveyor
                        Seal or Stamp
                                            
Registration Number
 
Certificate of Review Officer
I                                           , Review Officer of Granville County, certify that the map or plat to which this certification is affixed meets all statutory requirements for recording.
                                                                                                      
Review Officer                     Date
 
Certificate of land use regulation and purpose of plat
I,                                            , certify to one of the following:
a.   That this survey creates a subdivision of land within the area of a county or municipality that has an ordinance that regulates parcels of land;
b.   That this survey is located in a portion of a county or municipality that is unregulated as to an ordinance that regulates parcels of land;
c.   Anyone one of the following:
   1)   That this survey is of an existing parcel or parcels of land and does not create a new street or change an existing street;
   2)   That this survey is of an existing building or other structure, or natural feature, such as a watercourse; or
   3)   That this survey is a control survey.
d.   That this survey is of another category, such as the recombination of existing parcels, a court-ordered survey, or other exception to the definition of subdivision; or
e.   That the information available to the surveyor is such that the surveyor is unable to make a determination to the best of the surveyor’s professional ability as to provisions contained in a. through d. above.
                                                 
Surveyor
                        Seal or Stamp
                                                 
Registration Number
 
Certificate of approval of proposed state roads
I hereby certify that these streets as installed, or as designed and guaranteed, are in accordance with the minimum design criteria presently required by the North Carolina Department of Transportation, Division of Highways, for the acceptance of streets onto the state system for maintenance.
                                                                                                      
District Engineer                     Date
North Carolina Department of Transportation
Division of Highways
 
Certificate of approval of proposed town roads
I hereby certify that these streets as installed, or as designed and guaranteed, are in accordance with the minimum design criteria presently required by the Town of Butner, for the acceptance of streets onto the town system for maintenance.
                                                                                                      
Town Manager                     Date
Town of Butner
 
Certificate of approval of on-site sewage disposal systems
I hereby certify that the lot(s) on this final plat have been evaluated under the current provisions of Title 15A NCAC 18A .1934 et seq., and found that it/they has/have acceptable soils for an on-site, subsurface sewage treatment and disposal system.
                                                                                                      
Granville-Vance District Health Department         Date
 
Certificate of lots served by public water and/or sewer systems
I hereby certify that the construction plans for the water system and/or sewer system have been approved
for                                        (Name of Subdivision). The utilities have been constructed, or secured via a financial guarantee, to                                    , SGWASA standards.
                                                                                                      
Utilities Director                     Date
South Granville Water and Sewer Authority
 
Certificate of major subdivision approval
I hereby certify that the major subdivision plat shown hereon has been found to comply with the Subdivision Regulations of the Town of Butner, North Carolina and that this plat has been approved by the Town of Butner Ordinance Administrator for recording in the Office of the Register of Deeds. This approval is valid for a period of 30 days from the date of the Ordinance Administrator’s signature.
                                                                                                      
Ordinance Administrator, Town of Butner         Date
 
Certificate of minor subdivision approval
I hereby certify that the minor subdivision plat shown hereon has been found to comply with the Town of Butner Subdivision Regulations, his or her approval is valid for a period of 30 days from the date of the Ordinance Administrator’s signature.
                                                                                                      
Ordinance Administrator                  Date
Town of Butner
 
Certificate of recombination plat approval
I hereby certify that the recombination plat shown hereon has been found to comply with the Town of Butner Subdivision Regulations. This approval is valid for a period of 30 days from the date of the Ordinance Administrator’s signature.
                                                                                                      
Ordinance Administrator                  Date
Town of Butner
 
Certificate of exemption
I hereby certify that the division of land shown and described hereon is not a division of land subject to the Town of Butner Subdivision Regulations. No approval of this plat is required.
                                                                                                      
Ordinance Administrator                  Date
Town of Butner
 
Certificate of watershed protection ordinance compliance
I hereby certify that the division of land shown and described hereon is not a division of land subject to the Town of Butner Subdivision Regulations. No approval of this plat is required.
                                                                                                      
Ordinance Administrator                  Date
Town of Butner
NOTICE: This property is located within a Public Water Supply Watershed - development restrictions may apply.