I, _______ certify that this plat was drawn under my supervision from an actual survey made under my supervision, description recorded in Book , Page ; that the error of closure as calculated by latitudes and 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
Seal
Surveyor, registration number