Brunswick County Unincorporated
City Zoning Code

APPENDIX C

FINAL PLAT CERTIFICATES AND ENDORSEMENTS

Final Plat Certificates and Endorsements

The following Certificates and/or Endorsements, where applicable, shall be prominently located and signed on all Final Plats:

Summary of Final Plat Certificates and Endorsements
Type of Certificate	Subdivision Exemptions or Waivers	Minor Subdivisions	Major Subdivisions	Planned Developments (PDs)	See Item
Certificate of Survey and Accuracy	✓	✓	✓	✓	A
Certificate of Purpose of Plat	✓	✓	✓	✓	B
Review Officer Certification	✓	✓	✓	✓	C
Certificate of Ownership		✓	✓	✓	D
Family Subdivision Exemption Statement	*				A
Certificate of Approval for Installed Improvements		*	*	*	B
Certificate of Approval for Financially Guaranteed Improvements		*	*	*	C
Certificate of Approval for Non-County Utility Providers		*	*	*	D
Road Maintenance Agreement Certificate	*	*			E
Engineers' Certificate of Road Construction			*	*	C
Maintenance Disclosure Statement Certificate for Public Subdivision Roads		*	*		F
Maintenance Disclosure Certificate for Private Subdivision/PD Roads		*	*		G
Electrical Service Certification			*	*	I
✓ Required ^* If applicable

Final Plat Certificates

The following certificates shall be prominently located and signed on all Final Plats:

A. Certificate of Survey and Accuracy

I, ___________, certify that this plat was drawn under my supervision from (an actual survey made under my supervision) (deed etc.) (other); that the boundaries not surveyed are shown a 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

___________
Registration Number Seal or Stamp

B. Certificate of Purpose of Plat

I, ___________, Registered or Professional Land Surveyor, certify to one of the following:

a) That the 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 the survey is of an existing parcel of land.

c) That the survey is of another category, such as recombination of existing parcels, a court-ordered survey, or other exception to the definition of subdivision;

d) That the information to the surveyor is such that the surveyor is unable to make a determination to the best of his/her professional ability as to provisions contained in (a) through (c) above.

___________
Registered or Professional Land Surveyor

Commentary: Certain activities may be eligible for an exemption/waiver from the subdivision standards (see Section 3.4.). If the activity being submitted meets one of the activities eligible for an exemption/waiver, item C above should be the selected certification.

C. Review Officer Certification

State of North Carolina
I, ___________, Review Officer of Brunswick County, certify that the map or plat which this certification is affixed meets all statutory requirements for recording.
___________ Review Officer	___________ Date

D. Certificate of Ownership

I (We) hereby certify that I am (we are) the owner(s) of the property shown and described hereon which was conveyed to me (us) by deed recorded in Book ____, Page____, and that I (we) hereby adopt this plan of subdivision with my (our) free consent, establish the minimum building lines, and dedicated all streets, alleys, walks, parks, drainage-ways, and other open spaces to public or private use as noted. Further, I (we) certify that the land as shown hereon is within the subdivision regulation jurisdiction of Brunswick County.

___________
Owners(s)/Date

Final Plat Endorsements/Statements

Where applicable, the following endorsement(s) shall be shown and signed on all Final Plats:

A. Family Subdivision Exemption Statement

1. The Grantor(s) and Grantee(s) certify that the Grantee(s) is within four (4) degrees of collateral kinship to the Grantor(s), and that the purpose of this waiver is not to circumvent the provisions of the Brunswick County Unified Development Ordinance (effective May 1, 2007), and that none of the lots shall be conveyed to non-family members for a period of not less than one (1) year.
2. THE PROPOSED STREET(S) WILL NOT BE MAINTAINED BY BRUNSWICK COUNTY AND THE MAINTENANCE SHALL BE THE RESPONSIBILITY OF ALL ADJACENT PROPERTY OWNERS TO SAID STREET(S).
3.
4. ___________	___________
5. Grantor(s)	Grantee(s)
6.

B. Certificate of Approval for Installed Improvements

The undersigned hereby certifies that the required improvements
(_________________________________________________________________) [List all infrastructure improvements that have been installed and approved by local jurisdiction] have been installed in an acceptable manner and in accordance with the regulations of the Brunswick County Engineering and Utilities Departments and all requirements of the Brunswick County Unified Development Ordinance.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Brunswick County Engineering Director	_______ Date

C. Certificate of Approval for Financially Guaranteed Improvements

A financial guarantee approved by the Brunswick County Engineering Director in the amount of $_______(equal to 125% of probable cost) has been posted with the County to assure completion of all required improvements in the case of default on the part of the Owner(s)/Developer(s)/Responsible Party(ies).
___________ Brunswick County Engineering Director	_______ Date

D. Certificate of Approval for Non-County Utility Providers

I hereby certify that the [Type(s) of utilities] improvements have been
□ installed in an acceptable manner □ a financial guarantee has been posted [Please check appropriate box above]
in accordance with [Name of Non-County Utility Provider] standards and evidence of such has been provided to and is on file with Brunswick County Engineering Services.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Signature and Title of Certifying Jurisdiction or Service Provider	_______ Date

E. Road Maintenance Agreement Certificate

I hereby certify that a Road Maintenance Agreement shall be recorded with the Brunswick County Register of Deeds. The agreement shall bind the owners of all lots and any residual parcels remaining after creation of such lots to a road maintenance agreement. These road(s) are to be private and shall not be maintained by the North Carolina Department of Transportation or other public agency and the maintenance and improvements thereof shall be the mutual obligation of the landowners abutting said roads

___________
Owner(s) or Authorized Agent Signature(s)

_______
Date

F. Maintenance Disclosure Statement Certificate for Public Subdivision Roads

Certificate of Proposed Subdivision Road Construction Standards
N.C. Department of Transportation Division of Highways Proposed Subdivision Road Construction Standards Certification Approved
_______ Date	_______ District Engineer

G. Maintenance Disclosure Certificate for Private Subdivision/PD Streets

I (we), the responsible party(ies) of [Subdivision or PD Name] hereby state that the subdivision streets in [Subdivision/PD Name and Section/Phase if applicable] are private streets. These road(s) are to be privately maintained and shall not be maintained by the North Carolina Department of Transportation, Brunswick County or other public agency. Ownership and maintenance of all private streets in the aforementioned Major Subdivision or Planned Development are the responsibility of [Responsible Party(ies)] .

___________
Developer or Authorized POA Representative Signature(s)

_______
Date

H. Engineer's Certificate of Road Construction

I (we) hereby certify that all roads as depicted on this subdivision plat have been designed and installed in accordance with the approved plans per Section 6.11. of the Brunswick County Unified Development Ordinance.
Certified Professional Engineer ___________ Date ___________
Seal ___________

[I. Electrical Service]

I (we) hereby certify that electrical service to all lots as depicted on this subdivision plat have been installed in accordance with the utility provider's specifications per Section 3.3.B.16.ii. of the Brunswick County Unified Development Ordinance.
Developer or Project Manager ___________ Date ___________

(Ord. No. UDO-16-01 , § 4, 1-19-16; Ord. No. UDO-16-02 , §§ 28, 34, 35, 3-7-16; Ord. of UDO-17-01 , § 23; Ord. No. UDO-19-02 , § 12, 9-19-19)

Brunswick County Unincorporated
City Zoning Code

APPENDIX C

FINAL PLAT CERTIFICATES AND ENDORSEMENTS

Final Plat Certificates and Endorsements

The following Certificates and/or Endorsements, where applicable, shall be prominently located and signed on all Final Plats:

Summary of Final Plat Certificates and Endorsements
Type of Certificate	Subdivision Exemptions or Waivers	Minor Subdivisions	Major Subdivisions	Planned Developments (PDs)	See Item
Certificate of Survey and Accuracy	✓	✓	✓	✓	A
Certificate of Purpose of Plat	✓	✓	✓	✓	B
Review Officer Certification	✓	✓	✓	✓	C
Certificate of Ownership		✓	✓	✓	D
Family Subdivision Exemption Statement	*				A
Certificate of Approval for Installed Improvements		*	*	*	B
Certificate of Approval for Financially Guaranteed Improvements		*	*	*	C
Certificate of Approval for Non-County Utility Providers		*	*	*	D
Road Maintenance Agreement Certificate	*	*			E
Engineers' Certificate of Road Construction			*	*	C
Maintenance Disclosure Statement Certificate for Public Subdivision Roads		*	*		F
Maintenance Disclosure Certificate for Private Subdivision/PD Roads		*	*		G
Electrical Service Certification			*	*	I
✓ Required ^* If applicable

Final Plat Certificates

The following certificates shall be prominently located and signed on all Final Plats:

A. Certificate of Survey and Accuracy

___________

Surveyor

___________
Registration Number Seal or Stamp

B. Certificate of Purpose of Plat

I, ___________, Registered or Professional Land Surveyor, certify to one of the following:

a) That the 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 the survey is of an existing parcel of land.

c) That the survey is of another category, such as recombination of existing parcels, a court-ordered survey, or other exception to the definition of subdivision;

d) That the information to the surveyor is such that the surveyor is unable to make a determination to the best of his/her professional ability as to provisions contained in (a) through (c) above.

___________
Registered or Professional Land Surveyor

C. Review Officer Certification

State of North Carolina
I, ___________, Review Officer of Brunswick County, certify that the map or plat which this certification is affixed meets all statutory requirements for recording.
___________ Review Officer	___________ Date

D. Certificate of Ownership

___________
Owners(s)/Date

Final Plat Endorsements/Statements

Where applicable, the following endorsement(s) shall be shown and signed on all Final Plats:

A. Family Subdivision Exemption Statement

1. The Grantor(s) and Grantee(s) certify that the Grantee(s) is within four (4) degrees of collateral kinship to the Grantor(s), and that the purpose of this waiver is not to circumvent the provisions of the Brunswick County Unified Development Ordinance (effective May 1, 2007), and that none of the lots shall be conveyed to non-family members for a period of not less than one (1) year.
2. THE PROPOSED STREET(S) WILL NOT BE MAINTAINED BY BRUNSWICK COUNTY AND THE MAINTENANCE SHALL BE THE RESPONSIBILITY OF ALL ADJACENT PROPERTY OWNERS TO SAID STREET(S).
3.
4. ___________	___________
5. Grantor(s)	Grantee(s)
6.

B. Certificate of Approval for Installed Improvements

The undersigned hereby certifies that the required improvements
(_________________________________________________________________) [List all infrastructure improvements that have been installed and approved by local jurisdiction] have been installed in an acceptable manner and in accordance with the regulations of the Brunswick County Engineering and Utilities Departments and all requirements of the Brunswick County Unified Development Ordinance.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Brunswick County Engineering Director	_______ Date

C. Certificate of Approval for Financially Guaranteed Improvements

A financial guarantee approved by the Brunswick County Engineering Director in the amount of $_______(equal to 125% of probable cost) has been posted with the County to assure completion of all required improvements in the case of default on the part of the Owner(s)/Developer(s)/Responsible Party(ies).
___________ Brunswick County Engineering Director	_______ Date

D. Certificate of Approval for Non-County Utility Providers

I hereby certify that the [Type(s) of utilities] improvements have been
□ installed in an acceptable manner □ a financial guarantee has been posted [Please check appropriate box above]
in accordance with [Name of Non-County Utility Provider] standards and evidence of such has been provided to and is on file with Brunswick County Engineering Services.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Signature and Title of Certifying Jurisdiction or Service Provider	_______ Date

E. Road Maintenance Agreement Certificate

___________
Owner(s) or Authorized Agent Signature(s)

_______
Date

F. Maintenance Disclosure Statement Certificate for Public Subdivision Roads

Certificate of Proposed Subdivision Road Construction Standards
N.C. Department of Transportation Division of Highways Proposed Subdivision Road Construction Standards Certification Approved
_______ Date	_______ District Engineer

G. Maintenance Disclosure Certificate for Private Subdivision/PD Streets

___________
Developer or Authorized POA Representative Signature(s)

_______
Date

H. Engineer's Certificate of Road Construction

I (we) hereby certify that all roads as depicted on this subdivision plat have been designed and installed in accordance with the approved plans per Section 6.11. of the Brunswick County Unified Development Ordinance.
Certified Professional Engineer ___________ Date ___________
Seal ___________

[I. Electrical Service]

I (we) hereby certify that electrical service to all lots as depicted on this subdivision plat have been installed in accordance with the utility provider's specifications per Section 3.3.B.16.ii. of the Brunswick County Unified Development Ordinance.
Developer or Project Manager ___________ Date ___________

(Ord. No. UDO-16-01 , § 4, 1-19-16; Ord. No. UDO-16-02 , §§ 28, 34, 35, 3-7-16; Ord. of UDO-17-01 , § 23; Ord. No. UDO-19-02 , § 12, 9-19-19)

Brunswick County Unincorporated
City Zoning Code

APPENDIX C

FINAL PLAT CERTIFICATES AND ENDORSEMENTS

Final Plat Certificates and Endorsements

The following Certificates and/or Endorsements, where applicable, shall be prominently located and signed on all Final Plats:

Summary of Final Plat Certificates and Endorsements
Type of Certificate	Subdivision Exemptions or Waivers	Minor Subdivisions	Major Subdivisions	Planned Developments (PDs)	See Item
Certificate of Survey and Accuracy	✓	✓	✓	✓	A
Certificate of Purpose of Plat	✓	✓	✓	✓	B
Review Officer Certification	✓	✓	✓	✓	C
Certificate of Ownership		✓	✓	✓	D
Family Subdivision Exemption Statement	*				A
Certificate of Approval for Installed Improvements		*	*	*	B
Certificate of Approval for Financially Guaranteed Improvements		*	*	*	C
Certificate of Approval for Non-County Utility Providers		*	*	*	D
Road Maintenance Agreement Certificate	*	*			E
Engineers' Certificate of Road Construction			*	*	C
Maintenance Disclosure Statement Certificate for Public Subdivision Roads		*	*		F
Maintenance Disclosure Certificate for Private Subdivision/PD Roads		*	*		G
Electrical Service Certification			*	*	I
✓ Required ^* If applicable

Final Plat Certificates

The following certificates shall be prominently located and signed on all Final Plats:

A. Certificate of Survey and Accuracy

___________

Surveyor

___________
Registration Number Seal or Stamp

B. Certificate of Purpose of Plat

I, ___________, Registered or Professional Land Surveyor, certify to one of the following:

a) That the 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 the survey is of an existing parcel of land.

c) That the survey is of another category, such as recombination of existing parcels, a court-ordered survey, or other exception to the definition of subdivision;

d) That the information to the surveyor is such that the surveyor is unable to make a determination to the best of his/her professional ability as to provisions contained in (a) through (c) above.

___________
Registered or Professional Land Surveyor

C. Review Officer Certification

State of North Carolina
I, ___________, Review Officer of Brunswick County, certify that the map or plat which this certification is affixed meets all statutory requirements for recording.
___________ Review Officer	___________ Date

D. Certificate of Ownership

___________
Owners(s)/Date

Final Plat Endorsements/Statements

Where applicable, the following endorsement(s) shall be shown and signed on all Final Plats:

A. Family Subdivision Exemption Statement

1. The Grantor(s) and Grantee(s) certify that the Grantee(s) is within four (4) degrees of collateral kinship to the Grantor(s), and that the purpose of this waiver is not to circumvent the provisions of the Brunswick County Unified Development Ordinance (effective May 1, 2007), and that none of the lots shall be conveyed to non-family members for a period of not less than one (1) year.
2. THE PROPOSED STREET(S) WILL NOT BE MAINTAINED BY BRUNSWICK COUNTY AND THE MAINTENANCE SHALL BE THE RESPONSIBILITY OF ALL ADJACENT PROPERTY OWNERS TO SAID STREET(S).
3.
4. ___________	___________
5. Grantor(s)	Grantee(s)
6.

B. Certificate of Approval for Installed Improvements

The undersigned hereby certifies that the required improvements
(_________________________________________________________________) [List all infrastructure improvements that have been installed and approved by local jurisdiction] have been installed in an acceptable manner and in accordance with the regulations of the Brunswick County Engineering and Utilities Departments and all requirements of the Brunswick County Unified Development Ordinance.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Brunswick County Engineering Director	_______ Date

C. Certificate of Approval for Financially Guaranteed Improvements

A financial guarantee approved by the Brunswick County Engineering Director in the amount of $_______(equal to 125% of probable cost) has been posted with the County to assure completion of all required improvements in the case of default on the part of the Owner(s)/Developer(s)/Responsible Party(ies).
___________ Brunswick County Engineering Director	_______ Date

D. Certificate of Approval for Non-County Utility Providers

I hereby certify that the [Type(s) of utilities] improvements have been
□ installed in an acceptable manner □ a financial guarantee has been posted [Please check appropriate box above]
in accordance with [Name of Non-County Utility Provider] standards and evidence of such has been provided to and is on file with Brunswick County Engineering Services.
___________ Developer or Authorized Agent Signature(s)	_______ Date
___________ Signature and Title of Certifying Jurisdiction or Service Provider	_______ Date

E. Road Maintenance Agreement Certificate

___________
Owner(s) or Authorized Agent Signature(s)

_______
Date

F. Maintenance Disclosure Statement Certificate for Public Subdivision Roads

Certificate of Proposed Subdivision Road Construction Standards
N.C. Department of Transportation Division of Highways Proposed Subdivision Road Construction Standards Certification Approved
_______ Date	_______ District Engineer

G. Maintenance Disclosure Certificate for Private Subdivision/PD Streets

___________
Developer or Authorized POA Representative Signature(s)

_______
Date

H. Engineer's Certificate of Road Construction

I (we) hereby certify that all roads as depicted on this subdivision plat have been designed and installed in accordance with the approved plans per Section 6.11. of the Brunswick County Unified Development Ordinance.
Certified Professional Engineer ___________ Date ___________
Seal ___________

[I. Electrical Service]

I (we) hereby certify that electrical service to all lots as depicted on this subdivision plat have been installed in accordance with the utility provider's specifications per Section 3.3.B.16.ii. of the Brunswick County Unified Development Ordinance.
Developer or Project Manager ___________ Date ___________

(Ord. No. UDO-16-01 , § 4, 1-19-16; Ord. No. UDO-16-02 , §§ 28, 34, 35, 3-7-16; Ord. of UDO-17-01 , § 23; Ord. No. UDO-19-02 , § 12, 9-19-19)

Brunswick County UnincorporatedCity Zoning Code

APPENDIX C

Brunswick County UnincorporatedCity Zoning Code

APPENDIX C

Brunswick County UnincorporatedCity Zoning Code

APPENDIX C

Brunswick County Unincorporated
City Zoning Code

Brunswick County Unincorporated
City Zoning Code

Brunswick County Unincorporated
City Zoning Code