Bond Release Request Form - Charlotte
Final Inspection/Bond Release Request Form
Please note, form must be fully completed. Incomplete forms will not be accepted.
Bond Administration Surety Release Request
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: Please check only one Box
□ Sidewalk □ ROW □ BMP □ Other ________________________
□ Subdivision □ N/A - If no bond is associated with this subdivision/project/map
Is this surety greater than four (4) years from the original effective date? □ No □ Yes
If yes, the $440 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 90 days.
If the surety is not released within 90 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 Enclosed Payment Method: □ Check (made payable to the City of Charlotte) □ Credit Card (Visa or
Continuous Maintenance Request (Streets) – If subdivision or N/A box is checked, check only one box below:
□ 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 Engineering and Property Management.
Approved as-built permit number: LDAB ___________________
Final Inspection Request Inspector Name_____________________________________________
As the authorized agent, I submit this form as my formal request for the City of Charlotte to begin the Final Inspection process for:
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 Engineering
and Property Management, 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 _____________
Authorized Agent Name: _________________________________________________
Mailing Address: ___________________________________________
City, State, Zip Code: ___________________________________________
Telephone Number: _____________________ Date: _______________________
Submit completed form to: Bond Administrator
Charlotte-Mecklenburg Government Center, Engineering and Property Management, Land Development Division
600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone: (704) 432-0960 Fax: (704) 336-6586
Bond Release Request Form - Charlotte PDF
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