Final Inspection/Bond Release Request Form

Bond Administration Surety Request Release

As the authorized agent, I hereby complete this section as my formal request for the release of the following surety associated with the subdivision/project/map below. Select only one box.

Sidewalk

ROW

BMP

Subdivision

Is this surety greater than four (4) years from the original effective date?

Yes

If yes, the $650 bond administration fee must be submitted with this form. The request for release and final inspection will not be processed until payment is received. Please note, this request and fee are valid for 60 days. If the surety is not released within 60 days of the form submittal, another Final Inspection/Bond Release Request Form and applicable bond release fee will be required prior to surety release. Annual renewal fees are not waived by requesting a bond release. The release must occur before the surety’s annual renewal date.

Payment Method

Check (made payable to the City of Charlotte)

Online Payment (Visa or Master Card)

Continuous Maintenance Request (Streets) If this is a subdivision, check only one box.

I hereby request that the City of Charlotte accept these streets for public maintenance. The streets are located within the limits of the City of Charlotte and are contiguous to streets currently maintained by the City or State.

I hereby acknowledge that the streets are located within the extra territorial jurisdiction (ETJ) outside of the limits of the City of Charlotte and are not eligible for maintenance by the City of Charlotte. Upon completion of all punch list items, I must directly petition the State of North Carolina to accept the streets for public maintenance.

As a prerequisite to Subdivision or BMP requests for Final Inspection, Storm Drainage and/or BMP as-built drawings for this subdivision/project/map must be approved by City of Charlotte Land Development. Please provide the approved as-built number.

As the authorized agent, I submit this form as my formal request for the City of Charlotte to begin the Final Inspection process for:

Associated Accela Record

Phase:

Map:

I hereby certify that to the best of my knowledge, with the exception of specific final punch list items resulting from the requested final inspection, which will be satisfactorily completed prior to any surety release and/or transfer of street maintenance responsibility, all public improvements for the subdivision/project/map listed above have been constructed in accordance with the approved preliminary plan and corresponding to a record map filed in the office of Mecklenburg County Register of Deeds. All work conforms to the construction standards of the City of Charlotte Land Development, Charlotte Department of Transportation (CDOT), North Carolina Department of Transportation (NCDOT) and the City of Charlotte Subdivision Ordinance. The map has been recorded with the Mecklenburg County Register of Deeds in:

Map Book:

Page:

Phone Number

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Date

Homeowners Association: