ACKNOWLEDGEMENT STATEMENT

Neighborhood:

Lot Number:

Street Address:

Property Owner(s):

Review of this site plan by the ARB does not relieve the Property Owner(s) of their responsibility of conformance with Local, State, and Federal laws and other regulations, including, but not limited to, those pertaining to control and routing of storm and surface waters, erosion control, and the NC Watershed Protection Act.

Furthermore, the party responsible for preparation and submittal of this plan to the ARB, on behalf of the Property Owner(s), acknowledges that he is aware of these recommendations and regulations referenced within the ARB’s Architectural Guidelines, and has attempted, to the best of his ability, to layout the improvements indicated on this plan in conformance with these recommendations and regulations.

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Signature Date

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Printed Name