The Surveyors Certificate Must be Substantially in This Form:

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 boundaries not surveyed are clearly indicated as drawn from information found in Book...................., Page..................., that the ratio of precision as calculated is 1:.......; 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................, 20.......

Seal or Stamp

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Surveyor

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Registration Number