Checklist - Concept Plan (PDF)
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This four-page Concept Plan Checklist (and Conversion) is a county zoning submission checklist used to verify that a concept or conversion plan package is complete; each page shows a last-saved timestamp of 12/18/2017 3:40:25 PM. It lists required application items (completed application, received stamps/dates, fees, town notification within one mile, agency distributions, deeds/easements, APFO and Forest Conservation worksheet when applicable). The checklist details required plat information (scale, project and owner names, professionals and seals, adjacent property uses, purpose statement, title/revision blocks, north arrow, key map, and a Planning Commission concept-note), and land-description elements (property lines, contours, structures, roads and widths, easements, MALPF/MET checks, open space, sewer/water/stormwater locations, setbacks, historic structures, and buffer yards). A dedicated Natural Resource section enumerates items to show or verify (how resources were located, 100-year floodplain, steep slopes, streams and wetlands and buffers, hydric soils, erosion hazard areas, woodlands, shore buffer, and habitat of threatened/endangered species). The checklist also requires Critical Area mapping (boundaries, designations, buffers, BEA), a Site Statistics section with detailed area and impervious/floor/parking calculations, and a list of required certificates/signature blocks (Fire Marshall, Dept. of Public Works, Soil Conservation, Environmental Health, P&Z, and Planning Commission).
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CONCEPT PLAN CHECKLIST (and Conversion) File #: Zoning: Critical Area Designation: Tax Map#:_____________ Grid#:________ Parcel#:___________ Lot#:_______________ Town:__________________________________ APPLICATION _______ Application has been correctly completed and is consistent with the plat _______ All submitted information has been stamped and dated “received” _______ Correct application fee has been submitted _______ Project has been sent to Town if within a 1 mile radius _______ Proof of notification to adjacent property owners is not required but may have been submitted (if submitted check as would for other applications) _______ All agencies required to review project have been sent copies of the plan and the distribution sheets are in the file (necessary copies have been submitted) ______ Any copy(s) of property deed(s) and right-of-way and/or other easement agreements have been submitted (any questions on deed information should be discussed with the PC Attorney) _______ An APFO study or exemption is not required prior to Concept Plan however one could have been done for a conversion plan. Please check with the APFO Administrator. _______ If applicable, Forest Conservation Worksheet has been completed and submitted (for projects occurring on upland property 40,000 sq. ft. in size or larger) PLAT INFORMATION _______ Scale is legible and correct _______ Name of proposed subdivision and/or title of project _______ Name and address of property owner(s) of record _______ Name and address of all engineers/professionals responsible for preparing the plan _______ Seal of the engineer/professional with signature and date ______ Ownership, zoning, & use of all adjacent properties ______ A blow-up area of any metes/bounds descriptions that are very small for GIS department _______ Purpose and Intent Statement _______ Revision block for all revisions and dates ______ Title block that contains Tax Map/Grid/Parcel/Lot, and Election District _______ North arrow is shown and is oriented to the top of the page as possible ______ Key map with north arrow showing property in relation to towns and State or County roads or intersections Page 1 of 4 - Last saved on 3:40:25 PM 12/18/2017 ______ Statement that any existing nonconformities have been addressed and no nonconformities are being created _______ Concept plan note: “Planning Commission approval of this concept/sketch plan shall not constitute an approval of the proposal or a finding by the Planning Commission that provisions of this Title or other requirements of the County Code have been satisfied. Approval of this concept/sketch plan only grants permission for the applicant to pursue additional approvals from the Planning Commission, the Sanitary Commission and other interested agencies.” LAND DESCRIPTION INFORMATION _______ Property line boundaries with deed indicated on plan _______ Contours / topography shown at 2 ft intervals minimum (spot elevations are not necessary) _______ Location of all existing and proposed structures, features (fences, etc.) and utilities _______ Location and name of all existing and proposed roads, streets and parking areas shown with points of access _______ Widths of all roads, alleys, driveways, right-of-ways, road dedications and/or easements, etc. are indicated and shown _______ Location of all recorded easements which affect the property (including, but not limited to: right-of-way, easements, deed restrictions, covenants, TDR restrictions, etc.) _______ Conservation Lands Map has been checked for MALPF, MET and other easements/restrictions _______ If MALPF easement, MALPF Coordinator has been notified and all required paperwork has been completed _______ Location and area of proposed open space, common areas or major utility easements, if applicable _______ Proposed location and method of sewerage disposal indicated _______ Proposed location and type of water supply (private well/public water) indicated _______ Proposed location and method of stormwater management facilities indicated _______ All required setbacks with dimensions have been shown (front, side, and rear yards, lot width, lot frontage) _______ Any historic structures are identified and labeled as necessary _______ Location and dimension of all required buffer yards have been shown NATURAL RESOURCE INFORMATION ON THE PLAT (18:1-59 through 18:1-68) _______ Indicate if natural resources were field located with date or scaled from maps _______ If applicable, location, limits/area and FIRM# of 100 year Floodplain _______ If applicable, location of steep slopes _______ If applicable, location of streams (intermittent and perennial) and their associated buffers _______ If applicable, location of wetlands (tidal / non-tidal) and their associated buffers _______ If applicable, location of all hydric soils and soils with hydric properties (consultant verification of indicators) Page 2 of 4 - Last saved on 3:40:25 PM 12/18/2017 _______ If applicable, location of erosion hazard areas (protection detailed during site plan) _______ If applicable, location of woodlands and protection is addressed _______ If applicable, location of shore buffer _______ If applicable, location of habitat of threatened and endangered species (DNR letter may be required) _______ Natural Resources / CA Checklist has been checked if necessary CRITICAL AREA _______ If applicable, Critical Area boundaries and designation (IDA, LDA, RCA) indicated on the plan _______ If applicable, Critical Area buffers are shown and labeled _______ If applicable, location of BEA (Buffer Exempt Area) SITE STATISTICS _______ Gross site area _______ Base site area (with calculations, if applicable) _______ Total permitted impervious area _______ Existing impervious area _______ Total proposed impervious area _______ Minimum required landscape surface area _______ Total proposed landscape surface area _______ Maximum allowed floor area _______ Existing floor area _______ Total proposed floor area _______ Required number of parking spaces (with calculations & spaces shown on plan) _______ Total area in open space (if applicable) _______ Total area in resource protection (resource protection chart with percentages provided) _______ Area in buffer yards (with calculations) _______ Area of proposed roads or right-of-ways (if applicable) _______ Total permitted net buildable (if applicable, with calculations) _______ Proposed net buildable (if applicable, with calculations) Page 3 of 4 - Last saved on 3:40:25 PM 12/18/2017 REQUIRED CERTIFICATES/SIGNATURE BLOCKS ON THE PLAN ______ Fire Marshall Certificate – signed, typed name of official & dated ______ Dept. of Public Works Certificate -- signed, typed name of official & dated ______ Soil Conservation Service ______ Dept. of Environmental Health Certificate – signed, typed name of official & dated ______ P&Z Department Certificate – signed, typed name of official & dated ______ Planning Commission Certificate (if Planning Commission Approval is required Page 4 of 4 - Last saved on 3:40:25 PM 12/18/2017