Appendix 1D. FINAL PLAT

BESSEMER FINAL PLAT CHECKLIST

ITEMS TO BE ON THE PLAT

____________ Name of plat

____________ Scale (min. 1"=100') with graphic scale

____________ Paper size 24" × 36"

____________ Paper type —Mylar sheet (3 mils)

____________ Location of plat (¼/¼ section, township, and range)

____________ Name, address, phone number, and fax number of owner (lending institution if applicable)

____________ Name, address, phone number, and fax number of surveyor

____________ North arrow

____________ Date prepared

____________ Public areas to be dedicated

____________ Name & location of streets and alleys

____________ R.O.W. dimensions for streets and alleys

____________ Horizontal curve data

____________ Original lot numbers, lot lines, lot size, and streets (dashed)

____________ Original deed reference or plat map book & page number

____________ Location of existing & proposed easements with use

____________ Dimensions and purpose of easements (if applicable)

____________ Lot numbers, lot lines, & building lines of adjoining property with plat reference (dashed)

____________ Boundaries of resurveyed property with tie to control points

____________ Dimensions of resurveyed lot lines, and building lines (with angles/bearings & distances)

____________ Names of record owners of adjoining unplatted land

____________ Subdivision name with map book & page and/or parcel I.D. of meets and bounds property with deed reference

____________ Location & description of all permanent monuments

____________ Lot numbers, lot lines of resurveyed lots (heavy continuous line)

____________ Minimum building setback lines of resurveyed lots (dashed line)

____________ Stamped and signed by an Alabama registered surveyor

ADDITIONAL INFORMATION TO BE SUBMITTED, NOT ON PLAT

____________ Copy of existing record plat (full map, partial copies not accepted)

a)

Including map book and page number

b)

Copies of all subsequent resurveys

____________ Tax map with:

a)

Zoning classification of said parcel

b)

Zoning of all adjoining parcels

____________ Survey of property with all improvements (existing and proposed)

a)

If property is vacant state so

b)

Show zoning setbacks

____________ Street paving widths

____________ Flood information (FEMA map and panel number with zone)

SIGNATURES & CERTIFICATIONS

____________ Owners (with easement or ROW dedication statement if applicable)(*)

____________ Surveyor/engineer(*)

____________ City engineer certification

____________ Chairman of planning & zoning commission certification

____________ Building official certification concerning bond (if applicable)

____________ Mayor certification

____________ Jefferson County Health or Environmental Services

____________ Approval from applicable easement holders (if changed)

;le=2; (*) Notary required—Make seal/stamp legible.

Note— See the City of Bessemer Subdivision Regulations for requirements and certifications. The City of Bessemer Subdivision Regulations apply to all recorded plats; however, the record plat does not take precedence over deed covenants, restrictions, or other zoning ordinance requirements. The City of Bessemer enforces subdivision and zoning regulations; however, deed covenants and local restrictions may be more restrictive (i.e., local homeowners association).

____________ Owner certification of title with street, easement & R.O.W. dedication (if applicable)(*)

**Banker, mortgage company, and/or lien holders must sign plat.

Owner's certification and dedication. We, the undersigned (name of owner) do hereby certify that we are the owners of and the only person having any right, title, or interest in the land shown on the plat of (name of subdivision), and that the plat represents a correct survey of the above described property made with our consent, and that we hereby dedicate to the public use all the streets as shown on said plat. The easements as shown on the plat are created for the installation and maintenance of public utilities. We hereby guarantee a clear title to all lands so dedicated from ourselves and our heirs or assigns forever, and have cause the same to be released from all encumbrances so that the title is clear, except as shown in the abstractor's certificate.

____________ ____________ / ____________ / ____________
 Owner(*)

____________ ____________ / ____________ / ____________
 Date

____________ Land Surveyor (of Engineer) Certification Statement, Signature, and Seal(*)

Surveyor's certificate. I, ____________ the undersigned, do hereby certify that I am a Professional Land Surveyor and/or Civil Engineer and that the annexed map of (name of subdivision) consisting of ____________ streets, currently represents a survey made under my supervision on the ____________ day of ____________ , 20 ____________ ; and that all the monuments shown hereon actually exist and their positions are correctly shown. I hereby certify that all parts of this survey and drawing have been completed in accordance with the requirements of the Minimum Technical Standards for the Practice of Land Surveying in Alabama.

____________ ____________ / ____________ / ____________
 Surveyor(*)

____________ ____________ / ____________ / ____________
 Registration number

____________ City Officials

I hereby certify that the subdivision plat for ____________ subdivision has been found to comply with the Subdivision Regulation for Bessemer, Alabama, with the exception of such variances, if any, as are noted in the minutes of the Planning and Zoning Commission and that it has been approved for recording in the Office of the Probate Judge of Jefferson County, Alabama.

____________ ____________ ____________     ____________ ____________ ____________

Chairman, Planning and Zoning Commission     City Engineer, City of Bessemer

____________ ____________ ____________     ____________ ____________ ____________

Building Official, City of Bessemer   Mayor, City of Bessemer

____________ Jefferson County Dept. of Health Certification (if applicable)

I hereby certify that the water supply and sewage disposal utility systems installed or proposed for installation in the subdivision plat entitled ____________ fully meet the requirements of the Alabama State Health Department, and are hereby approved as shown.

____________ ____________ ____________ / ____________ / ____________
Jefferson County Health Department

____________
Date

____________ Jefferson County Environmental Services Sanitary Sewer Certification (if applicable)

Environmental Services Department approval indicates that easements have been dedicated for future Jefferson County sanitary sewers however this does not mean sanitary sewers have been built or will be built in the future. Any change in the right-of-way or easement after this date may void this approval.

____________ ____________ ____________ / ____________ / ____________     Date ____________

Director of Environmental Services